How much rates vary
Facilitymedian $78 · 10th to 90th $26 to $148Professionalmedian $68 · 10th to 90th $31 to $78
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 $32.36 Median $64.57 Typical High $66.07 | Professional | None (both parts) | $32.36 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $16.60 | $20.89 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $42.66 Typical High $45.71 | Professional | TC · Technical part | $15.14 | $42.66 | $45.71 |
BCBS Idaho Setting Facility Modifier None Typical Low $21.38 Median $95.50 Typical High $147.91 | Facility | None | $21.38 | $95.50 | $147.91 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $93.33 | Professional | None (both parts) | $67.61 | $67.61 | $93.33 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $31.62 | Professional | 26 · Professional part | $21.38 | $21.38 | $31.62 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $63.10 | Professional | TC · Technical part | $45.71 | $45.71 | $63.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $70.79 | Professional | None (both parts) | $41.69 | $41.69 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $24.55 | Professional | 26 · Professional part | $14.45 | $14.45 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $45.71 | Professional | TC · Technical part | $26.92 | $26.92 | $45.71 |
Moda Health Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $3,981.07 | Facility | None | $64.57 | $64.57 | $3,981.07 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $66.07 Typical High $77.62 | Professional | None (both parts) | $50.12 | $66.07 | $77.62 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $20.89 Typical High $25.12 | Professional | 26 · Professional part | $16.22 | $20.89 | $25.12 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $42.66 Typical High $52.48 | Professional | TC · Technical part | $33.88 | $42.66 | $52.48 |
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 $70.79 Median $77.62 Typical High $77.62 | Facility | None | $70.79 | $77.62 | $77.62 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $10.23 Median $75.86 Typical High $77.62 | Professional | None (both parts) | $10.23 | $75.86 | $77.62 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 26 · Professional part | $17.38 | $17.38 | $17.38 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | TC · Technical part | $34.67 | $34.67 | $34.67 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $75.86 | Professional | None (both parts) | $67.61 | $67.61 | $75.86 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $25.12 | Professional | 26 · Professional part | $21.38 | $21.38 | $25.12 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $51.29 | Professional | TC · Technical part | $45.71 | $45.71 | $51.29 |
Select Health Setting Facility Modifier None Typical Low $41.69 Median $42.66 Typical High $109.65 | Facility | None | $41.69 | $42.66 | $109.65 |
Select Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $56.23 Typical High $95.50 | Professional | None (both parts) | $41.69 | $56.23 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $43.65 Typical High $69.18 | Professional | None (both parts) | $29.51 | $43.65 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $20.89 Typical High $26.30 | Professional | 26 · Professional part | $15.49 | $20.89 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $20.42 Typical High $42.66 | Professional | TC · Technical part | $12.88 | $20.42 | $42.66 |
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 $48.98 Median $64.57 Typical High $67.61 | Professional | 78 · Unplanned return to OR | $48.98 | $64.57 | $67.61 |
Where Idaho sits
The same service costs 3.7 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· 8th of 51
$67.61
AK $102NY $27.54
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.