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 $389.05 Median $389.05 Typical High $389.05 | Facility | TC · Technical part | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $186.21 | $371.54 | $371.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $177.83 Median $354.81 Typical High $912.01 | Facility | None | $177.83 | $354.81 | $912.01 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $338.84 Median $371.54 Typical High $489.78 | Professional | None (both parts) | $338.84 | $371.54 | $489.78 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $39.81 | $46.77 | $58.88 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $331.13 Typical High $426.58 | Professional | TC · Technical part | $295.12 | $331.13 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $398.11 Typical High $691.83 | Facility | None | $147.91 | $398.11 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $169.82 | Professional | None (both parts) | $154.88 | $154.88 | $169.82 |
Moda Health Setting Facility Modifier None Typical Low $223.87 Median $371.54 Typical High $524.81 | Facility | None | $223.87 | $371.54 | $524.81 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $331.13 Typical High $371.54 | Professional | None (both parts) | $309.03 | $331.13 | $371.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $44.67 | Professional | 26 · Professional part | $36.31 | $38.90 | $44.67 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $288.40 Typical High $323.59 | Professional | TC · Technical part | $275.42 | $288.40 | $323.59 |
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 $295.12 Median $354.81 Typical High $354.81 | Facility | None | $295.12 | $354.81 | $354.81 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $316.23 Median $354.81 Typical High $489.78 | Professional | None (both parts) | $316.23 | $354.81 | $489.78 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $199.53 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $199.53 | $354.81 | $354.81 |
Select Health Setting Facility Modifier None Typical Low $173.78 Median $177.83 Typical High $977.24 | Facility | None | $173.78 | $177.83 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $109.65 Typical High $229.09 | Professional | None (both parts) | $97.72 | $109.65 | $229.09 |
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 $234.42 Median $275.42 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $234.42 | $275.42 | $338.84 |
Where Idaho sits
The same service costs 6.5 times more in North Dakota 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
$355
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.