How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Professional Modifier None (both parts) Typical Low $75.86 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $75.86 | $204.17 | $204.17 |
BCBS Idaho Setting Facility Modifier None Typical Low $83.18 Median $93.33 Typical High $194.98 | Facility | None | $83.18 | $93.33 | $194.98 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $223.87 Median $263.03 Typical High $316.23 | Professional | None (both parts) | $223.87 | $263.03 | $316.23 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $83.18 | Professional | 26 · Professional part | $56.23 | $67.61 | $83.18 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $194.98 Typical High $229.09 | Professional | TC · Technical part | $169.82 | $194.98 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $177.83 Typical High $371.54 | Facility | None | $66.07 | $177.83 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $93.33 | Professional | None (both parts) | $91.20 | $91.20 | $93.33 |
Moda Health Setting Facility Modifier None Typical Low $128.82 Median $204.17 Typical High $295.12 | Facility | None | $128.82 | $204.17 | $295.12 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $223.87 | Professional | None (both parts) | $204.17 | $204.17 | $223.87 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $56.23 Typical High $60.26 | Professional | 26 · Professional part | $52.48 | $56.23 | $60.26 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $158.49 Typical High $169.82 | Professional | TC · Technical part | $144.54 | $158.49 | $169.82 |
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 $204.17 Median $245.47 Typical High $245.47 | Facility | None | $204.17 | $245.47 | $245.47 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $218.78 Median $245.47 Typical High $316.23 | Professional | None (both parts) | $218.78 | $245.47 | $316.23 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $177.83 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $177.83 | $223.87 | $223.87 |
Select Health Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $123.03 | Facility | None | $120.23 | $120.23 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $69.18 Typical High $123.03 | Professional | None (both parts) | $41.69 | $69.18 | $123.03 |
2 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | 53 · Discontinued | $37.15 | $37.15 | $37.15 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $190.55 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $162.18 | $190.55 | $218.78 |
Where Idaho sits
The same service costs 4.6 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· 5th of 51
$214
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.