How much rates vary
Facilitymedian $158 · 10th to 90th $74 to $245Professionalmedian $158 · 10th to 90th $56 to $209
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $131.83 Median $186.21 Typical High $234.42 | Facility | None | $131.83 | $186.21 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $158.49 Typical High $186.21 | Professional | None (both parts) | $69.18 | $158.49 | $186.21 |
BCBS Idaho Setting Facility Modifier None Typical Low $77.62 Median $131.83 Typical High $186.21 | Facility | None | $77.62 | $131.83 | $186.21 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $223.87 | Professional | None (both parts) | $158.49 | $190.55 | $223.87 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $69.18 | Professional | 26 · Professional part | $47.86 | $56.23 | $69.18 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $154.88 | Professional | TC · Technical part | $112.20 | $134.90 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $128.82 Typical High $245.47 | Facility | None | $47.86 | $128.82 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
Moda Health Setting Facility Modifier None Typical Low $67.61 Median $181.97 Typical High $346.74 | Facility | None | $67.61 | $181.97 | $346.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $154.88 Typical High $177.83 | Professional | None (both parts) | $81.28 | $154.88 | $177.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $21.88 | $46.77 | $72.44 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $112.20 Typical High $125.89 | Professional | TC · Technical part | $50.12 | $112.20 | $125.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $151.36 Median $181.97 Typical High $181.97 | Facility | None | $151.36 | $181.97 | $181.97 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $162.18 Median $181.97 Typical High $223.87 | Professional | None (both parts) | $162.18 | $181.97 | $223.87 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $144.54 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $144.54 | $158.49 | $158.49 |
Select Health Setting Facility Modifier None Typical Low $81.28 Median $87.10 Typical High $141.25 | Facility | None | $81.28 | $87.10 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $56.23 Typical High $93.33 | Professional | None (both parts) | $38.90 | $56.23 | $93.33 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $120.23 Median $141.25 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $120.23 | $141.25 | $154.88 |
Where Idaho sits
The same service costs 5.9 times more in Alaska than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Idaho· 7th of 51
$158
AK $347AL $58.88
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.