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 $43.65 Median $69.18 Typical High $70.79 | Professional | None (both parts) | $43.65 | $69.18 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.12 Typical High $27.54 | Professional | 26 · Professional part | $23.44 | $25.12 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $43.65 Typical High $45.71 | Professional | TC · Technical part | $18.20 | $43.65 | $45.71 |
BCBS Idaho Setting Facility Modifier None Typical Low $34.67 Median $70.79 Typical High $162.18 | Facility | None | $34.67 | $70.79 | $162.18 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $102.33 | Professional | None (both parts) | $72.44 | $72.44 | $102.33 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $38.02 | Professional | 26 · Professional part | $25.70 | $25.70 | $38.02 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $64.57 | Professional | TC · Technical part | $46.77 | $46.77 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $75.86 | Professional | None (both parts) | $44.67 | $44.67 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $30.20 | Professional | 26 · Professional part | $17.78 | $17.78 | $30.20 |
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 $69.18 Median $70.79 Typical High $3,981.07 | Facility | None | $69.18 | $70.79 | $3,981.07 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $70.79 Typical High $85.11 | Professional | None (both parts) | $53.70 | $70.79 | $85.11 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.12 Typical High $30.20 | Professional | 26 · Professional part | $19.50 | $25.12 | $30.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $43.65 Typical High $53.70 | Professional | TC · Technical part | $34.67 | $43.65 | $53.70 |
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 $75.86 Median $85.11 Typical High $85.11 | Facility | None | $75.86 | $85.11 | $85.11 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $11.22 Median $81.28 Typical High $85.11 | Professional | None (both parts) | $11.22 | $81.28 | $85.11 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $20.89 | $20.89 | $20.89 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | TC · Technical part | $35.48 | $35.48 | $35.48 |
Regence BlueShield Setting Facility Modifier None Typical Low $47.86 Median $70.79 Typical High $97.72 | Facility | None | $47.86 | $70.79 | $97.72 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $83.18 | Professional | None (both parts) | $72.44 | $72.44 | $83.18 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $30.90 | Professional | 26 · Professional part | $25.70 | $25.70 | $30.90 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $52.48 | Professional | TC · Technical part | $46.77 | $46.77 | $52.48 |
Select Health Setting Facility Modifier None Typical Low $44.67 Median $45.71 Typical High $162.18 | Facility | None | $44.67 | $45.71 | $162.18 |
Select Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $61.66 Typical High $102.33 | Professional | None (both parts) | $44.67 | $61.66 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $53.70 Typical High $77.62 | Professional | None (both parts) | $38.90 | $53.70 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.18 Typical High $38.02 | Professional | 26 · Professional part | $19.95 | $28.18 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $24.55 Typical High $41.69 | Professional | TC · Technical part | $16.22 | $24.55 | $41.69 |
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 $53.70 Median $70.79 Typical High $74.13 | Professional | 78 · Unplanned return to OR | $53.70 | $70.79 | $74.13 |
Where Idaho sits
The same service costs 3.6 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· 9th of 51
$72.44
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.