How much rates vary
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 $251.19 Median $251.19 Typical High $346.74 | Facility | None | $251.19 | $251.19 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $302.00 Typical High $331.13 | Professional | None (both parts) | $107.15 | $302.00 | $331.13 |
BCBS Idaho Setting Facility Modifier None Typical Low $147.91 Median $588.84 Typical High $1,096.48 | Facility | None | $147.91 | $588.84 | $1,096.48 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $302.00 Median $346.74 Typical High $426.58 | Professional | None (both parts) | $302.00 | $346.74 | $426.58 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $95.50 | Professional | 26 · Professional part | $64.57 | $75.86 | $95.50 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $275.42 Typical High $323.59 | Professional | TC · Technical part | $239.88 | $275.42 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $281.84 Typical High $524.81 | Facility | None | $104.71 | $281.84 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $138.04 | Professional | None (both parts) | $134.90 | $134.90 | $138.04 |
Moda Health Setting Facility Modifier None Typical Low $194.98 Median $302.00 Typical High $426.58 | Facility | None | $194.98 | $302.00 | $426.58 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $288.40 Typical High $302.00 | Professional | None (both parts) | $275.42 | $288.40 | $302.00 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $63.10 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $63.10 | $70.79 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $229.09 Typical High $239.88 | Professional | TC · Technical part | $120.23 | $229.09 | $239.88 |
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 $275.42 Median $331.13 Typical High $331.13 | Facility | None | $275.42 | $331.13 | $331.13 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $295.12 Median $331.13 Typical High $426.58 | Professional | None (both parts) | $295.12 | $331.13 | $426.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $812.83 Typical High $1,174.90 | Facility | None | $478.63 | $812.83 | $1,174.90 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $275.42 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $275.42 | $302.00 | $302.00 |
Select Health Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $165.96 | Facility | None | $162.18 | $162.18 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $104.71 Typical High $173.78 | Professional | None (both parts) | $66.07 | $104.71 | $173.78 |
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 $218.78 Median $257.04 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $218.78 | $257.04 | $295.12 |
Where Idaho sits
The same service costs 7.1 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· 5th of 51
$302
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.