How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,479 to $8,318Professionalmedian $1,349 · 10th to 90th $1,000 to $1,778
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 $1,479.11 Median $3,981.07 Typical High $6,918.31 | Facility | None | $1,479.11 | $3,981.07 | $6,918.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,230.27 Typical High $1,513.56 | Professional | None (both parts) | $851.14 | $1,230.27 | $1,513.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $316.23 Typical High $316.23 | Professional | 26 · Professional part | $234.42 | $316.23 | $316.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $933.25 Typical High $1,096.48 | Professional | TC · Technical part | $616.60 | $933.25 | $1,096.48 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,344.23 Median $5,623.41 Typical High $9,332.54 | Facility | None | $2,344.23 | $5,623.41 | $9,332.54 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,548.82 Typical High $1,905.46 | Professional | None (both parts) | $1,318.26 | $1,548.82 | $1,905.46 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $407.38 Typical High $501.19 | Professional | 26 · Professional part | $346.74 | $407.38 | $501.19 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,148.15 Typical High $1,380.38 | Professional | TC · Technical part | $977.24 | $1,148.15 | $1,380.38 |
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 $1,122.02 Median $1,479.11 Typical High $1,584.89 | Professional | None (both parts) | $1,122.02 | $1,479.11 | $1,584.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $371.54 Typical High $416.87 | Professional | 26 · Professional part | $295.12 | $371.54 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,047.13 Typical High $1,202.26 | Professional | TC · Technical part | $776.25 | $1,047.13 | $1,202.26 |
Moda Health Setting Facility Modifier None Typical Low $1,230.27 Median $1,479.11 Typical High $5,495.41 | Facility | None | $1,230.27 | $1,479.11 | $5,495.41 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,412.54 Typical High $1,737.80 | Professional | None (both parts) | $1,230.27 | $1,412.54 | $1,737.80 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $316.23 Typical High $436.52 | Professional | 26 · Professional part | $288.40 | $316.23 | $436.52 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,000.00 Typical High $1,230.27 | Professional | TC · Technical part | $831.76 | $1,000.00 | $1,230.27 |
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 $1,380.38 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,380.38 | $1,513.56 | $1,513.56 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,513.56 Typical High $5,248.07 | Professional | None (both parts) | $1,348.96 | $1,513.56 | $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 $1,318.26 Median $1,318.26 Typical High $1,479.11 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $1,479.11 |
Select Health Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $831.76 | Facility | None | $812.83 | $812.83 | $831.76 |
Select Health Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $1,096.48 | Professional | None (both parts) | $812.83 | $812.83 | $1,096.48 |
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 $954.99 Median $1,258.93 Typical High $1,659.59 | Professional | None (both parts) | $954.99 | $1,258.93 | $1,659.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $371.54 Typical High $467.74 | Professional | 26 · Professional part | $263.03 | $371.54 | $467.74 |
United Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $891.25 Typical High $1,230.27 | Professional | TC · Technical part | $660.69 | $891.25 | $1,230.27 |
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 $954.99 Median $1,122.02 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $954.99 | $1,122.02 | $1,318.26 |
Where Idaho sits
The same service costs 4.2 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· 22nd of 51
$1,549
WI $3,631NY $871
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.