How much rates vary
Facilitymedian $91 · 10th to 90th $47 to $151Professionalmedian $46 · 10th to 90th $25 to $107
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 $75.86 Median $75.86 Typical High $3,981.07 | Facility | None | $75.86 | $75.86 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $36.31 Typical High $60.26 | Professional | None (both parts) | $26.92 | $36.31 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.14 Typical High $19.50 | Professional | 26 · Professional part | $10.47 | $15.14 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $20.89 Typical High $32.36 | Professional | TC · Technical part | $16.60 | $20.89 | $32.36 |
BCBS Idaho Setting Facility Modifier None Typical Low $46.77 Median $91.20 Typical High $151.36 | Facility | None | $46.77 | $91.20 | $151.36 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $128.82 | Professional | None (both parts) | $89.13 | $89.13 | $128.82 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $53.70 | Professional | 26 · Professional part | $36.31 | $36.31 | $53.70 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $75.86 | Professional | TC · Technical part | $53.70 | $53.70 | $75.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $42.66 | Professional | None (both parts) | $25.12 | $25.12 | $42.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $41.69 | Professional | 26 · Professional part | $23.99 | $23.99 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $56.23 | Professional | TC · Technical part | $33.11 | $33.11 | $56.23 |
Moda Health Setting Facility Modifier None Typical Low $35.48 Median $36.31 Typical High $3,981.07 | Facility | None | $35.48 | $36.31 | $3,981.07 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $43.65 Typical High $107.15 | Professional | None (both parts) | $35.48 | $43.65 | $107.15 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.14 Typical High $42.66 | Professional | 26 · Professional part | $13.49 | $15.14 | $42.66 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $22.39 Typical High $63.10 | Professional | TC · Technical part | $20.89 | $22.39 | $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 $97.72 Median $107.15 Typical High $107.15 | Facility | None | $97.72 | $107.15 | $107.15 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $14.13 Median $104.71 Typical High $107.15 | Professional | None (both parts) | $14.13 | $104.71 | $107.15 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $29.51 | $29.51 | $29.51 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $41.69 | $41.69 | $41.69 |
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 $43.65 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $43.65 | $89.13 | $89.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $36.31 | $36.31 | $36.31 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $53.70 | $53.70 | $53.70 |
Select Health Setting Facility Modifier None Typical Low $56.23 Median $57.54 Typical High $109.65 | Facility | None | $56.23 | $57.54 | $109.65 |
Select Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $60.26 Typical High $109.65 | Professional | None (both parts) | $53.70 | $60.26 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $38.02 Typical High $60.26 | Professional | None (both parts) | $26.92 | $38.02 | $60.26 |
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 $66.07 Median $89.13 Typical High $93.33 | Professional | 78 · Unplanned return to OR | $66.07 | $89.13 | $93.33 |
Where Idaho sits
The same service costs 4.7 times more in Minnesota than in Kentucky. 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· 19th of 51
$60.26
MN $129KY $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.