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 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 $33.88 Median $74.13 Typical High $75.86 | Professional | None (both parts) | $33.88 | $74.13 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $29.51 Typical High $33.11 | Professional | 26 · Professional part | $21.88 | $29.51 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $44.67 Typical High $46.77 | Professional | TC · Technical part | $11.22 | $44.67 | $46.77 |
BCBS Idaho Setting Facility Modifier None Typical Low $21.38 Median $72.44 Typical High $114.82 | Facility | None | $21.38 | $72.44 | $114.82 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $112.20 | Professional | None (both parts) | $79.43 | $79.43 | $112.20 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $44.67 | Professional | 26 · Professional part | $30.20 | $30.20 | $44.67 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $67.61 | Professional | TC · Technical part | $48.98 | $48.98 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $81.28 | Professional | None (both parts) | $47.86 | $47.86 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $34.67 | Professional | 26 · Professional part | $20.42 | $20.42 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $46.77 | Professional | TC · Technical part | $27.54 | $27.54 | $46.77 |
Moda Health Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $3,981.07 | Facility | None | $74.13 | $74.13 | $3,981.07 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $75.86 Typical High $91.20 | Professional | None (both parts) | $58.88 | $75.86 | $91.20 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $35.48 | Professional | 26 · Professional part | $22.91 | $29.51 | $35.48 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $44.67 Typical High $56.23 | Professional | TC · Technical part | $36.31 | $44.67 | $56.23 |
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 $83.18 Median $93.33 Typical High $93.33 | Facility | None | $83.18 | $93.33 | $93.33 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $12.30 Median $89.13 Typical High $93.33 | Professional | None (both parts) | $12.30 | $89.13 | $93.33 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $24.55 | $24.55 | $24.55 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $36.31 | $36.31 | $36.31 |
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 $79.43 Median $79.43 Typical High $89.13 | Professional | None (both parts) | $79.43 | $79.43 | $89.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $36.31 | Professional | 26 · Professional part | $30.20 | $30.20 | $36.31 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $53.70 | Professional | TC · Technical part | $48.98 | $48.98 | $53.70 |
Select Health Setting Facility Modifier None Typical Low $46.77 Median $48.98 Typical High $56.23 | Facility | None | $46.77 | $48.98 | $56.23 |
Select Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $54.95 Typical High $112.20 | Professional | None (both parts) | $48.98 | $54.95 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $51.29 Typical High $83.18 | Professional | None (both parts) | $33.11 | $51.29 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $29.51 Typical High $36.31 | Professional | 26 · Professional part | $21.88 | $29.51 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $16.98 Typical High $40.74 | Professional | TC · Technical part | $10.47 | $16.98 | $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 $57.54 Median $75.86 Typical High $81.28 | Professional | 78 · Unplanned return to OR | $57.54 | $75.86 | $81.28 |
Where Idaho sits
The same service costs 3.9 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· 8th of 51
$79.43
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.