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 $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $218.78 | $707.95 | $707.95 |
BCBS Idaho Setting Facility Modifier None Typical Low $269.15 Median $446.68 Typical High $776.25 | Facility | None | $269.15 | $446.68 | $776.25 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $691.83 Median $776.25 Typical High $954.99 | Professional | None (both parts) | $691.83 | $776.25 | $954.99 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $128.82 Typical High $158.49 | Professional | 26 · Professional part | $107.15 | $128.82 | $158.49 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $645.65 Typical High $794.33 | Professional | TC · Technical part | $575.44 | $645.65 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $724.44 Typical High $1,288.25 | Facility | None | $269.15 | $724.44 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $331.13 | Professional | None (both parts) | $323.59 | $323.59 | $331.13 |
Moda Health Setting Facility Modifier None Typical Low $446.68 Median $575.44 Typical High $851.14 | Facility | None | $446.68 | $575.44 | $851.14 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $645.65 Typical High $707.95 | Professional | None (both parts) | $371.54 | $645.65 | $707.95 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $107.15 Typical High $120.23 | Professional | 26 · Professional part | $60.26 | $107.15 | $120.23 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $562.34 Typical High $588.84 | Professional | TC · Technical part | $208.93 | $562.34 | $588.84 |
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 $602.56 Median $741.31 Typical High $741.31 | Facility | None | $602.56 | $741.31 | $741.31 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $645.65 Median $741.31 Typical High $977.24 | Professional | None (both parts) | $645.65 | $741.31 | $977.24 |
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 $645.65 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $645.65 | $691.83 | $691.83 |
Select Health Setting Facility Modifier None Typical Low $354.81 Median $363.08 Typical High $630.96 | Facility | None | $354.81 | $363.08 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $245.47 Typical High $407.38 | Professional | None (both parts) | $123.03 | $245.47 | $407.38 |
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 $478.63 Median $575.44 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $478.63 | $575.44 | $676.08 |
Where Idaho sits
The same service costs 9.1 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· 6th of 51
$646
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.