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 $1,995.26 Median $3,981.07 Typical High $6,918.31 | Facility | None | $1,995.26 | $3,981.07 | $6,918.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,698.24 Typical High $1,949.84 | Professional | None (both parts) | $1,288.25 | $1,698.24 | $1,949.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $457.09 Typical High $457.09 | Professional | 26 · Professional part | $346.74 | $457.09 | $457.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,230.27 Typical High $1,318.26 | Professional | TC · Technical part | $954.99 | $1,230.27 | $1,318.26 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,344.23 Median $5,888.44 Typical High $8,709.64 | Facility | None | $2,344.23 | $5,888.44 | $8,709.64 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $2,137.96 Typical High $2,570.40 | Professional | None (both parts) | $1,819.70 | $2,137.96 | $2,570.40 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $501.19 Median $602.56 Typical High $741.31 | Professional | 26 · Professional part | $501.19 | $602.56 | $741.31 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $1,513.56 Typical High $1,862.09 | Professional | TC · Technical part | $1,288.25 | $1,513.56 | $1,862.09 |
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 $1,621.81 Median $2,041.74 Typical High $2,187.76 | Professional | None (both parts) | $1,621.81 | $2,041.74 | $2,187.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $549.54 Typical High $616.60 | Professional | 26 · Professional part | $436.52 | $549.54 | $616.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,479.11 Typical High $1,584.89 | Professional | TC · Technical part | $1,122.02 | $1,479.11 | $1,584.89 |
Moda Health Setting Facility Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $12,302.69 | Facility | None | $1,698.24 | $2,398.83 | $12,302.69 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,949.84 Typical High $2,398.83 | Professional | None (both parts) | $1,698.24 | $1,949.84 | $2,398.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $457.09 Typical High $676.08 | Professional | 26 · Professional part | $436.52 | $457.09 | $676.08 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,318.26 Typical High $1,698.24 | Professional | TC · Technical part | $1,230.27 | $1,318.26 | $1,698.24 |
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 $1,862.09 Median $2,089.30 Typical High $2,089.30 | Facility | None | $1,862.09 | $2,089.30 | $2,089.30 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $2,089.30 Typical High $5,248.07 | Professional | None (both parts) | $1,862.09 | $2,089.30 | $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 $1,819.70 Median $1,819.70 Typical High $2,041.74 | Professional | None (both parts) | $1,819.70 | $1,819.70 | $2,041.74 |
Select Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,122.02 Typical High $8,709.64 | Facility | None | $1,096.48 | $1,122.02 | $8,709.64 |
Select Health Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,479.11 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,479.11 |
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 $1,380.38 Median $1,862.09 Typical High $2,398.83 | Professional | None (both parts) | $1,380.38 | $1,862.09 | $2,398.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $537.03 Typical High $691.83 | Professional | 26 · Professional part | $389.05 | $537.03 | $691.83 |
United Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,288.25 Typical High $1,698.24 | Professional | TC · Technical part | $954.99 | $1,288.25 | $1,698.24 |
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 $1,288.25 Median $1,548.82 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,548.82 | $1,819.70 |
Where Idaho sits
The same service costs 3.9 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· 18th of 51
$2,089
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.