How much rates vary
Facilitymedian $100 · 10th to 90th $47 to $162Professionalmedian $107 · 10th to 90th $66 to $126
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 $75.86 Median $100.00 Typical High $117.49 | Professional | None (both parts) | $75.86 | $100.00 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $51.29 Typical High $57.54 | Professional | 26 · Professional part | $48.98 | $51.29 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $48.98 Typical High $52.48 | Professional | TC · Technical part | $26.92 | $48.98 | $52.48 |
BCBS Idaho Setting Facility Modifier None Typical Low $42.66 Median $100.00 Typical High $162.18 | Facility | None | $42.66 | $100.00 | $162.18 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $151.36 | Professional | None (both parts) | $107.15 | $107.15 | $151.36 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $77.62 | Professional | 26 · Professional part | $52.48 | $52.48 | $77.62 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $74.13 | Professional | TC · Technical part | $53.70 | $53.70 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $112.20 | Professional | None (both parts) | $66.07 | $66.07 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $60.26 | Professional | 26 · Professional part | $35.48 | $35.48 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $52.48 | Professional | TC · Technical part | $30.90 | $30.90 | $52.48 |
Moda Health Setting Facility Modifier None Typical Low $89.13 Median $100.00 Typical High $3,981.07 | Facility | None | $89.13 | $100.00 | $3,981.07 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $102.33 Typical High $125.89 | Professional | None (both parts) | $79.43 | $102.33 | $125.89 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $51.29 Typical High $61.66 | Professional | 26 · Professional part | $39.81 | $51.29 | $61.66 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $48.98 Typical High $63.10 | Professional | TC · Technical part | $39.81 | $48.98 | $63.10 |
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 $114.82 Median $125.89 Typical High $125.89 | Facility | None | $114.82 | $125.89 | $125.89 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $16.60 Median $123.03 Typical High $125.89 | Professional | None (both parts) | $16.60 | $123.03 | $125.89 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $40.74 | $40.74 | $40.74 |
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 $107.15 Median $107.15 Typical High $123.03 | Professional | None (both parts) | $107.15 | $107.15 | $123.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $63.10 | Professional | 26 · Professional part | $52.48 | $52.48 | $63.10 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $60.26 | Professional | TC · Technical part | $53.70 | $53.70 | $60.26 |
Select Health Setting Facility Modifier None Typical Low $66.07 Median $67.61 Typical High $162.18 | Facility | None | $66.07 | $67.61 | $162.18 |
Select Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $91.20 Typical High $151.36 | Professional | None (both parts) | $66.07 | $91.20 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $91.20 Typical High $114.82 | Professional | None (both parts) | $69.18 | $91.20 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $57.54 Typical High $79.43 | Professional | 26 · Professional part | $40.74 | $57.54 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $30.20 Typical High $48.98 | Professional | TC · Technical part | $22.39 | $30.20 | $48.98 |
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 $79.43 Median $104.71 Typical High $109.65 | Professional | 78 · Unplanned return to OR | $79.43 | $104.71 | $109.65 |
Where Idaho sits
The same service costs 3.4 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· 12th of 51
$107
AK $166UT $48.98
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.