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 $1,412.54 Median $1,445.44 Typical High $5,495.41 | Facility | None | $1,412.54 | $1,445.44 | $5,495.41 |
Aetna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,202.26 Typical High $1,737.80 | Professional | None (both parts) | $831.76 | $1,202.26 | $1,737.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $173.78 Typical High $204.17 | Professional | 26 · Professional part | $131.83 | $173.78 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $1,023.29 Typical High $1,202.26 | Professional | TC · Technical part | $676.08 | $1,023.29 | $1,202.26 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,344.23 Median $5,888.44 Typical High $10,232.93 | Facility | None | $2,344.23 | $5,888.44 | $10,232.93 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,513.56 Typical High $1,862.09 | Professional | None (both parts) | $1,258.93 | $1,513.56 | $1,862.09 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $229.09 Typical High $275.42 | Professional | 26 · Professional part | $190.55 | $229.09 | $275.42 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,288.25 Typical High $1,548.82 | Professional | TC · Technical part | $1,071.52 | $1,288.25 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $2,089.30 Typical High $2,884.03 | Facility | None | $1,862.09 | $2,089.30 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,318.26 Typical High $1,513.56 | Professional | None (both parts) | $1,000.00 | $1,318.26 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $204.17 Typical High $229.09 | Professional | 26 · Professional part | $162.18 | $204.17 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,096.48 Typical High $1,258.93 | Professional | TC · Technical part | $851.14 | $1,096.48 | $1,258.93 |
Moda Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,698.24 Typical High $7,943.28 | Facility | None | $1,202.26 | $1,698.24 | $7,943.28 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,412.54 Typical High $1,737.80 | Professional | None (both parts) | $1,071.52 | $1,412.54 | $1,737.80 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $173.78 Typical High $257.04 | Professional | 26 · Professional part | $147.91 | $173.78 | $257.04 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,071.52 Typical High $1,445.44 | Professional | TC · Technical part | $851.14 | $1,071.52 | $1,445.44 |
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 $1,348.96 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,348.96 | $1,479.11 | $1,479.11 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,479.11 Typical High $5,248.07 | Professional | None (both parts) | $1,288.25 | $1,479.11 | $5,248.07 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,623.41 Median $8,128.31 Typical High $10,715.19 | Facility | None | $5,623.41 | $8,128.31 | $10,715.19 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $1,412.54 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $1,412.54 |
Select Health Setting Facility Modifier None Typical Low $776.25 Median $794.33 Typical High $7,079.46 | Facility | None | $776.25 | $794.33 | $7,079.46 |
Select Health Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $1,071.52 | Professional | None (both parts) | $776.25 | $776.25 | $1,071.52 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,238.72 Typical High $3,388.44 | Facility | None | $1,698.24 | $2,238.72 | $3,388.44 |
United Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,148.15 Typical High $1,513.56 | Professional | None (both parts) | $851.14 | $1,148.15 | $1,513.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $208.93 Typical High $263.03 | Professional | 26 · Professional part | $144.54 | $208.93 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $912.01 Typical High $1,288.25 | Professional | TC · Technical part | $691.83 | $912.01 | $1,288.25 |
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 $912.01 Median $1,096.48 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $912.01 | $1,096.48 | $1,288.25 |
Where Idaho sits
The same service costs 4.3 times more in Wisconsin 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· 19th of 51
$1,479
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.