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 TC · Technical part Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | TC · Technical part | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
BCBS Idaho Setting Facility Modifier None Typical Low $117.49 Median $181.97 Typical High $512.86 | Facility | None | $117.49 | $181.97 | $512.86 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $316.23 | Professional | None (both parts) | $223.87 | $288.40 | $316.23 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $165.96 Typical High $190.55 | Professional | 26 · Professional part | $128.82 | $165.96 | $190.55 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $123.03 Typical High $131.83 | Professional | TC · Technical part | $93.33 | $123.03 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $125.89 Typical High $199.53 | Facility | None | $47.86 | $125.89 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
Moda Health Setting Facility Modifier None Typical Low $154.88 Median $257.04 Typical High $371.54 | Facility | None | $154.88 | $257.04 | $371.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $239.88 Typical High $257.04 | Professional | None (both parts) | $229.09 | $239.88 | $257.04 |
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 $229.09 Median $275.42 Typical High $275.42 | Facility | None | $229.09 | $275.42 | $275.42 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $245.47 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $245.47 | $275.42 | $323.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $288.40 Median $446.68 Typical High $562.34 | Facility | None | $288.40 | $446.68 | $562.34 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $213.80 Median $223.87 Typical High $239.88 | Professional | None (both parts) | $213.80 | $223.87 | $239.88 |
Select Health Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $165.96 | Facility | None | $134.90 | $134.90 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $194.98 | Professional | None (both parts) | $83.18 | $117.49 | $194.98 |
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 $181.97 Median $213.80 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $181.97 | $213.80 | $223.87 |
Where Idaho sits
The same service costs 7.6 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· 8th of 51
$240
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.