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 $173.78 Median $173.78 Typical High $173.78 | Facility | TC · Technical part | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
BCBS Idaho Setting Facility Modifier None Typical Low $134.90 Median $194.98 Typical High $1,174.90 | Facility | None | $134.90 | $194.98 | $1,174.90 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $208.93 Median $234.42 Typical High $295.12 | Professional | None (both parts) | $208.93 | $234.42 | $295.12 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $109.65 | Professional | 26 · Professional part | $74.13 | $85.11 | $109.65 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $151.36 Typical High $186.21 | Professional | TC · Technical part | $131.83 | $151.36 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $162.18 Typical High $295.12 | Facility | None | $61.66 | $162.18 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $97.72 | Professional | None (both parts) | $95.50 | $95.50 | $97.72 |
Moda Health Setting Facility Modifier None Typical Low $134.90 Median $213.80 Typical High $1,659.59 | Facility | None | $134.90 | $213.80 | $1,659.59 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $194.98 Typical High $213.80 | Professional | None (both parts) | $190.55 | $194.98 | $213.80 |
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 $181.97 Median $223.87 Typical High $223.87 | Facility | None | $181.97 | $223.87 | $223.87 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $194.98 Median $223.87 Typical High $295.12 | Professional | None (both parts) | $194.98 | $223.87 | $295.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $562.34 Median $812.83 Typical High $1,174.90 | Facility | None | $562.34 | $812.83 | $1,174.90 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $194.98 Median $208.93 Typical High $234.42 | Professional | None (both parts) | $194.98 | $208.93 | $234.42 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $109.65 Typical High $323.59 | Facility | None | $107.15 | $109.65 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $91.20 Typical High $181.97 | Professional | None (both parts) | $77.62 | $91.20 | $181.97 |
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 $147.91 Median $173.78 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $147.91 | $173.78 | $204.17 |
Where Idaho sits
The same service costs 4.5 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· 6th of 51
$209
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.