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 $4,466.84 Typical High $7,079.46 | Facility | None | $1,412.54 | $4,466.84 | $7,079.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $891.25 Typical High $1,047.13 | Professional | None (both parts) | $794.33 | $891.25 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $295.12 Typical High $302.00 | Professional | 26 · Professional part | $251.19 | $295.12 | $302.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $588.84 Typical High $707.95 | Professional | TC · Technical part | $524.81 | $588.84 | $707.95 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,691.53 Median $5,011.87 Typical High $10,471.29 | Facility | None | $2,691.53 | $5,011.87 | $10,471.29 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,174.90 Typical High $1,412.54 | Professional | None (both parts) | $954.99 | $1,174.90 | $1,412.54 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $398.11 Typical High $478.63 | Professional | 26 · Professional part | $331.13 | $398.11 | $478.63 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $758.58 Typical High $933.25 | Professional | TC · Technical part | $616.60 | $758.58 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $1,380.38 Typical High $12,589.25 | Facility | None | $151.36 | $1,380.38 | $12,589.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,096.48 Typical High $1,202.26 | Professional | None (both parts) | $870.96 | $1,096.48 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $346.74 Typical High $389.05 | Professional | 26 · Professional part | $275.42 | $346.74 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $741.31 Typical High $812.83 | Professional | TC · Technical part | $588.84 | $741.31 | $812.83 |
Moda Health Setting Facility Modifier None Typical Low $602.56 Median $1,047.13 Typical High $5,495.41 | Facility | None | $602.56 | $1,047.13 | $5,495.41 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,047.13 Typical High $1,288.25 | Professional | None (both parts) | $891.25 | $1,047.13 | $1,288.25 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $302.00 Typical High $436.52 | Professional | 26 · Professional part | $281.84 | $302.00 | $436.52 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $660.69 Typical High $851.14 | Professional | TC · Technical part | $588.84 | $660.69 | $851.14 |
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 $1,023.29 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,023.29 | $1,122.02 | $1,122.02 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,122.02 Typical High $5,128.61 | Professional | None (both parts) | $977.24 | $1,122.02 | $5,128.61 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,495.41 Median $7,943.28 Typical High $10,471.29 | Facility | None | $5,495.41 | $7,943.28 | $10,471.29 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $1,071.52 | Professional | None (both parts) | $954.99 | $954.99 | $1,071.52 |
Select Health Setting Facility Modifier None Typical Low $602.56 Median $616.60 Typical High $5,128.61 | Facility | None | $602.56 | $616.60 | $5,128.61 |
Select Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $812.83 | Professional | None (both parts) | $602.56 | $602.56 | $812.83 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,819.70 Typical High $2,398.83 | Facility | None | $1,412.54 | $1,819.70 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,071.52 Typical High $1,380.38 | Professional | None (both parts) | $630.96 | $1,071.52 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $338.84 Typical High $436.52 | Professional | 26 · Professional part | $245.47 | $338.84 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $758.58 Typical High $977.24 | Professional | TC · Technical part | $398.11 | $758.58 | $977.24 |
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 $676.08 Median $831.76 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $676.08 | $831.76 | $1,000.00 |
Where Idaho sits
The same service costs 4.4 times more in Wisconsin than in Texas. 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
$1,122
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.