How much rates vary
Facilitymedian $295 · 10th to 90th $135 to $617Professionalmedian $155 · 10th to 90th $95 to $186
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 $112.20 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $112.20 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $83.18 | $109.65 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $43.65 Typical High $45.71 | Professional | TC · Technical part | $30.90 | $43.65 | $45.71 |
BCBS Idaho Setting Facility Modifier None Typical Low $141.25 Median $354.81 Typical High $630.96 | Facility | None | $141.25 | $354.81 | $630.96 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $120.23 Median $158.49 Typical High $186.21 | Professional | None (both parts) | $120.23 | $158.49 | $186.21 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $134.90 | Professional | 26 · Professional part | $89.13 | $112.20 | $134.90 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $46.77 Typical High $50.12 | Professional | TC · Technical part | $32.36 | $46.77 | $50.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $154.88 | Professional | None (both parts) | $79.43 | $79.43 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $112.20 | Professional | 26 · Professional part | $61.66 | $61.66 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $41.69 | Professional | TC · Technical part | $17.38 | $17.38 | $41.69 |
Moda Health Setting Facility Modifier None Typical Low $144.54 Median $151.36 Typical High $436.52 | Facility | None | $144.54 | $151.36 | $436.52 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $151.36 Typical High $186.21 | Professional | None (both parts) | $114.82 | $151.36 | $186.21 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $123.03 | Professional | 26 · Professional part | $83.18 | $109.65 | $123.03 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $43.65 Typical High $47.86 | Professional | TC · Technical part | $32.36 | $43.65 | $47.86 |
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 $169.82 Median $186.21 Typical High $186.21 | Facility | None | $169.82 | $186.21 | $186.21 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $24.55 Median $181.97 Typical High $186.21 | Professional | None (both parts) | $24.55 | $181.97 | $186.21 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | TC · Technical part | $33.11 | $33.11 | $33.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $512.86 | Facility | None | $269.15 | $389.05 | $512.86 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $186.21 | Professional | None (both parts) | $158.49 | $158.49 | $186.21 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | 26 · Professional part | $112.20 | $112.20 | $131.83 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $51.29 | Professional | TC · Technical part | $46.77 | $46.77 | $51.29 |
Select Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Select Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $102.33 Typical High $165.96 | Professional | None (both parts) | $95.50 | $102.33 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $114.82 Typical High $158.49 | Professional | None (both parts) | $79.43 | $114.82 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $117.49 | Professional | 26 · Professional part | $61.66 | $85.11 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $28.84 Typical High $40.74 | Professional | TC · Technical part | $17.38 | $28.84 | $40.74 |
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 $109.65 Median $123.03 Typical High $131.83 | Professional | 78 · Unplanned return to OR | $109.65 | $123.03 | $131.83 |
Where Idaho sits
The same service costs 3.3 times more in Alaska than in Utah. 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
$158
AK $234UT $70.79
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.