How much rates vary
Facilitymedian $2,884 · 10th to 90th $1,905 to $9,772Professionalmedian $1,905 · 10th to 90th $1,380 to $2,512
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 $1,778.28 Median $2,041.74 Typical High $5,495.41 | Facility | None | $1,778.28 | $2,041.74 | $5,495.41 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,698.24 Typical High $2,511.89 | Professional | None (both parts) | $1,258.93 | $1,698.24 | $2,511.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $489.78 Typical High $588.84 | Professional | 26 · Professional part | $363.08 | $489.78 | $588.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,202.26 Typical High $1,479.11 | Professional | TC · Technical part | $891.25 | $1,202.26 | $1,479.11 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,344.23 Median $6,165.95 Typical High $9,772.37 | Facility | None | $2,344.23 | $6,165.95 | $9,772.37 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $2,137.96 Typical High $2,630.27 | Professional | None (both parts) | $1,819.70 | $2,137.96 | $2,630.27 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $645.65 Typical High $776.25 | Professional | 26 · Professional part | $537.03 | $645.65 | $776.25 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $1,513.56 Typical High $1,819.70 | Professional | TC · Technical part | $1,288.25 | $1,513.56 | $1,819.70 |
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 $467.74 Median $588.84 Typical High $660.69 | Professional | 26 · Professional part | $467.74 | $588.84 | $660.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,445.44 Typical High $1,584.89 | Professional | TC · Technical part | $1,096.48 | $1,445.44 | $1,584.89 |
Moda Health Setting Facility Modifier None Typical Low $1,698.24 Median $2,570.40 Typical High $31,622.78 | Facility | None | $1,698.24 | $2,570.40 | $31,622.78 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,949.84 Typical High $2,511.89 | Professional | None (both parts) | $1,380.38 | $1,949.84 | $2,511.89 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $489.78 Typical High $691.83 | Professional | 26 · Professional part | $398.11 | $489.78 | $691.83 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,318.26 Typical High $1,698.24 | Professional | TC · Technical part | $977.24 | $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 $1,905.46 Median $2,089.30 Typical High $2,089.30 | Facility | None | $1,905.46 | $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 $7,244.36 | Facility | None | $1,096.48 | $1,122.02 | $7,244.36 |
Select Health Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,513.56 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,513.56 |
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 $416.87 Median $575.44 Typical High $741.31 | Professional | 26 · Professional part | $416.87 | $575.44 | $741.31 |
United Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,258.93 Typical High $1,659.59 | Professional | TC · Technical part | $933.25 | $1,258.93 | $1,659.59 |
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 $1,318.26 Median $1,548.82 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,318.26 | $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
WI $4,898NY $1,259
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.