How much rates vary
Facilitymedian $91 · 10th to 90th $49 to $148Professionalmedian $123 · 10th to 90th $72 to $148
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 $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,981.07 | $3,981.07 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $117.49 Typical High $125.89 | Professional | None (both parts) | $79.43 | $117.49 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $66.07 | Professional | 26 · Professional part | $48.98 | $58.88 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $58.88 Typical High $61.66 | Professional | TC · Technical part | $28.84 | $58.88 | $61.66 |
BCBS Idaho Setting Facility Modifier None Typical Low $41.69 Median $70.79 Typical High $123.03 | Facility | None | $41.69 | $70.79 | $123.03 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $177.83 | Professional | None (both parts) | $123.03 | $123.03 | $177.83 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $89.13 | Professional | 26 · Professional part | $60.26 | $60.26 | $89.13 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $87.10 | Professional | TC · Technical part | $64.57 | $64.57 | $87.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $131.83 | Professional | None (both parts) | $77.62 | $77.62 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $40.74 | $40.74 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $61.66 | Professional | TC · Technical part | $36.31 | $36.31 | $61.66 |
Moda Health Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $3,981.07 | Facility | None | $117.49 | $117.49 | $3,981.07 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $144.54 | Professional | None (both parts) | $93.33 | $120.23 | $144.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $70.79 | Professional | 26 · Professional part | $45.71 | $58.88 | $70.79 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $58.88 Typical High $74.13 | Professional | TC · Technical part | $46.77 | $58.88 | $74.13 |
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 $131.83 Median $147.91 Typical High $147.91 | Facility | None | $131.83 | $147.91 | $147.91 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $19.50 Median $141.25 Typical High $147.91 | Professional | None (both parts) | $19.50 | $141.25 | $147.91 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $47.86 | $47.86 | $47.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $70.79 Median $97.72 Typical High $123.03 | Facility | None | $70.79 | $97.72 | $123.03 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $141.25 | Professional | None (both parts) | $123.03 | $123.03 | $141.25 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $70.79 | Professional | 26 · Professional part | $60.26 | $60.26 | $70.79 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $70.79 | Professional | TC · Technical part | $64.57 | $64.57 | $70.79 |
Select Health Setting Facility Modifier None Typical Low $77.62 Median $79.43 Typical High $162.18 | Facility | None | $77.62 | $79.43 | $162.18 |
Select Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $104.71 Typical High $177.83 | Professional | None (both parts) | $77.62 | $104.71 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $100.00 Typical High $131.83 | Professional | None (both parts) | $72.44 | $100.00 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $61.66 Typical High $81.28 | Professional | 26 · Professional part | $45.71 | $61.66 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $36.31 Typical High $57.54 | Professional | TC · Technical part | $25.70 | $36.31 | $57.54 |
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 $91.20 Median $123.03 Typical High $128.82 | Professional | 78 · Unplanned return to OR | $91.20 | $123.03 | $128.82 |
Where Idaho sits
The same service costs 3.3 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· 12th of 51
$123
AK $195NY $58.88
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.