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 Professional Modifier None (both parts) Typical Low $933.25 Median $1,122.02 Typical High $1,122.02 | Professional | None (both parts) | $933.25 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $64.57 | Professional | 26 · Professional part | $63.10 | $63.10 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,047.13 Typical High $1,047.13 | Professional | TC · Technical part | $891.25 | $1,047.13 | $1,047.13 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,047.13 Median $1,548.82 Typical High $2,344.23 | Facility | None | $1,047.13 | $1,548.82 | $2,344.23 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,698.24 Typical High $2,089.30 | Professional | None (both parts) | $1,230.27 | $1,698.24 | $2,089.30 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $107.15 | Professional | 26 · Professional part | $61.66 | $89.13 | $107.15 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,621.81 Typical High $1,949.84 | Professional | TC · Technical part | $1,174.90 | $1,621.81 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,288.25 Typical High $1,548.82 | Professional | None (both parts) | $977.24 | $1,288.25 | $1,548.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $74.13 Typical High $91.20 | Professional | 26 · Professional part | $60.26 | $74.13 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,202.26 Typical High $1,445.44 | Professional | TC · Technical part | $912.01 | $1,202.26 | $1,445.44 |
Hally Health Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,388.44 | Professional | None | $2,818.38 | $2,818.38 | $3,388.44 |
Moda Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,584.89 | Facility | None | $1,122.02 | $1,122.02 | $1,584.89 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,659.59 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,659.59 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $83.18 | Professional | 26 · Professional part | $63.10 | $63.10 | $83.18 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | TC · Technical part | $1,047.13 | $1,047.13 | $1,047.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $537.03 | Professional | None (both parts) | $33.11 | $33.11 | $537.03 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $1,659.59 | Facility | None | $57.54 | $57.54 | $1,659.59 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $54.95 Median $1,202.26 Typical High $1,659.59 | Professional | None (both parts) | $54.95 | $1,202.26 | $1,659.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,584.89 Median $2,187.76 Typical High $2,951.21 | Facility | None | $1,584.89 | $2,187.76 | $2,951.21 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $1,659.59 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $1,659.59 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $87.10 | Professional | 26 · Professional part | $61.66 | $61.66 | $87.10 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,174.90 Typical High $1,584.89 | Professional | TC · Technical part | $1,174.90 | $1,174.90 | $1,584.89 |
Select Health Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $2,187.76 | Facility | None | $891.25 | $891.25 | $2,187.76 |
Select Health Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,047.13 Typical High $1,479.11 | Professional | None (both parts) | $891.25 | $1,047.13 | $1,479.11 |
United Setting Facility Modifier None Typical Low $3,548.13 Median $6,165.95 Typical High $7,762.47 | Facility | None | $3,548.13 | $6,165.95 | $7,762.47 |
United Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,071.52 Typical High $1,659.59 | Professional | None (both parts) | $831.76 | $1,071.52 | $1,659.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $100.00 | Professional | 26 · Professional part | $53.70 | $70.79 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $977.24 Typical High $1,548.82 | Professional | TC · Technical part | $776.25 | $977.24 | $1,548.82 |
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 $831.76 Median $1,348.96 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $831.76 | $1,348.96 | $1,445.44 |
Where Idaho sits
The same service costs 3.1 times more in Alaska than in New York. 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· 14th of 51
$1,259
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.