How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,862 to $8,318Professionalmedian $1,778 · 10th to 90th $1,380 to $2,344
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 $4,786.30 Typical High $6,918.31 | Facility | None | $3,981.07 | $4,786.30 | $6,918.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,584.89 Typical High $1,819.70 | Professional | None (both parts) | $1,202.26 | $1,584.89 | $1,819.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $416.87 Typical High $416.87 | Professional | 26 · Professional part | $338.84 | $416.87 | $416.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,148.15 Typical High $1,258.93 | Professional | TC · Technical part | $870.96 | $1,148.15 | $1,258.93 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,344.23 Median $5,623.41 Typical High $8,511.38 | Facility | None | $2,344.23 | $5,623.41 | $8,511.38 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,995.26 Typical High $2,398.83 | Professional | None (both parts) | $1,698.24 | $1,995.26 | $2,398.83 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $549.54 Typical High $660.69 | Professional | 26 · Professional part | $457.09 | $549.54 | $660.69 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,445.44 Typical High $1,737.80 | Professional | TC · Technical part | $1,230.27 | $1,445.44 | $1,737.80 |
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 $1,445.44 Median $1,862.09 Typical High $2,041.74 | Professional | None (both parts) | $1,445.44 | $1,862.09 | $2,041.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $489.78 Typical High $562.34 | Professional | 26 · Professional part | $389.05 | $489.78 | $562.34 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,348.96 Typical High $1,513.56 | Professional | TC · Technical part | $1,000.00 | $1,348.96 | $1,513.56 |
Moda Health Setting Facility Modifier None Typical Low $1,584.89 Median $2,238.72 Typical High $5,495.41 | Facility | None | $1,584.89 | $2,238.72 | $5,495.41 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,819.70 Typical High $2,238.72 | Professional | None (both parts) | $1,584.89 | $1,819.70 | $2,238.72 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $416.87 Typical High $616.60 | Professional | 26 · Professional part | $398.11 | $416.87 | $616.60 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,258.93 Typical High $1,621.81 | Professional | TC · Technical part | $1,148.15 | $1,258.93 | $1,621.81 |
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 $1,737.80 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,737.80 | $1,949.84 | $1,949.84 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,949.84 Typical High $5,248.07 | Professional | None (both parts) | $1,737.80 | $1,949.84 | $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 $1,698.24 Median $1,698.24 Typical High $1,905.46 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $1,905.46 |
Select Health Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,047.13 | Facility | None | $1,023.29 | $1,023.29 | $1,047.13 |
Select Health Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,380.38 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,380.38 |
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 $1,230.27 Median $1,659.59 Typical High $2,137.96 | Professional | None (both parts) | $1,230.27 | $1,659.59 | $2,137.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $489.78 Typical High $616.60 | Professional | 26 · Professional part | $346.74 | $489.78 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,148.15 Typical High $1,548.82 | Professional | TC · Technical part | $870.96 | $1,148.15 | $1,548.82 |
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 $1,202.26 Median $1,445.44 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,445.44 | $1,698.24 |
Where Idaho sits
The same service costs 4.0 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
$1,950
WI $4,467NY $1,122
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.