How much rates vary
Facilitymedian $263 · 10th to 90th $112 to $562Professionalmedian $251 · 10th to 90th $69 to $302
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 $204.17 Median $323.59 Typical High $323.59 | Facility | None | $204.17 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $102.33 | $269.15 | $269.15 |
BCBS Idaho Setting Facility Modifier None Typical Low $107.15 Median $181.97 Typical High $602.56 | Facility | None | $107.15 | $181.97 | $602.56 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $245.47 Median $275.42 Typical High $363.08 | Professional | None (both parts) | $245.47 | $275.42 | $363.08 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $89.13 | Professional | 26 · Professional part | $60.26 | $70.79 | $89.13 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $204.17 Typical High $275.42 | Professional | TC · Technical part | $181.97 | $204.17 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $251.19 Typical High $446.68 | Facility | None | $93.33 | $251.19 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $123.03 | Professional | None (both parts) | $112.20 | $112.20 | $123.03 |
Moda Health Setting Facility Modifier None Typical Low $100.00 Median $275.42 Typical High $323.59 | Facility | None | $100.00 | $275.42 | $323.59 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $251.19 Typical High $269.15 | Professional | None (both parts) | $194.98 | $251.19 | $269.15 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $58.88 Typical High $67.61 | Professional | 26 · Professional part | $38.02 | $58.88 | $67.61 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $181.97 Typical High $204.17 | Professional | TC · Technical part | $107.15 | $181.97 | $204.17 |
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 $218.78 Median $263.03 Typical High $263.03 | Facility | None | $218.78 | $263.03 | $263.03 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $234.42 Median $263.03 Typical High $371.54 | Professional | None (both parts) | $234.42 | $263.03 | $371.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $323.59 Median $512.86 Typical High $812.83 | Facility | None | $323.59 | $512.86 | $812.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $151.36 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $151.36 | $263.03 | $263.03 |
Select Health Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $323.59 | Facility | None | $128.82 | $128.82 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $77.62 Typical High $162.18 | Professional | None (both parts) | $61.66 | $77.62 | $162.18 |
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 $173.78 Median $204.17 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $173.78 | $204.17 | $257.04 |
Where Idaho sits
The same service costs 5.2 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· 2nd of 51
$257
AK $309AL $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.