How much rates vary
Facilitymedian $269 · 10th to 90th $141 to $617Professionalmedian $162 · 10th to 90th $132 to $269
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 Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $177.83 | Professional | None (both parts) | $144.54 | $144.54 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $66.07 | $69.18 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $79.43 Typical High $97.72 | Professional | TC · Technical part | $74.13 | $79.43 | $97.72 |
BCBS Idaho Setting Facility Modifier None Typical Low $138.04 Median $263.03 Typical High $812.83 | Facility | None | $138.04 | $263.03 | $812.83 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $125.89 Median $154.88 Typical High $162.18 | Professional | None (both parts) | $125.89 | $154.88 | $162.18 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $131.83 Typical High $158.49 | Professional | 26 · Professional part | $75.86 | $131.83 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $218.78 | Professional | None (both parts) | $134.90 | $169.82 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $102.33 | Professional | 26 · Professional part | $64.57 | $81.28 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $114.82 | Professional | TC · Technical part | $69.18 | $87.10 | $114.82 |
Moda Health Setting Facility Modifier None Typical Low $67.61 Median $144.54 Typical High $208.93 | Facility | None | $67.61 | $144.54 | $208.93 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $173.78 | Professional | None (both parts) | $134.90 | $144.54 | $173.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $128.82 | Professional | 26 · Professional part | $69.18 | $69.18 | $128.82 |
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 $239.88 Median $269.15 Typical High $269.15 | Facility | None | $239.88 | $269.15 | $269.15 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $257.04 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $257.04 | $269.15 | $269.15 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $177.83 | Professional | None (both parts) | $162.18 | $162.18 | $177.83 |
Select Health Setting Facility Modifier None Typical Low $398.11 Median $457.09 Typical High $724.44 | Facility | None | $398.11 | $457.09 | $724.44 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $67.61 Typical High $89.13 | Professional | 26 · Professional part | $64.57 | $67.61 | $89.13 |
United Setting Facility Modifier None Typical Low $144.54 Median $363.08 Typical High $501.19 | Facility | None | $144.54 | $363.08 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $239.88 Typical High $323.59 | Professional | None (both parts) | $147.91 | $239.88 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $97.72 Typical High $131.83 | Professional | 26 · Professional part | $57.54 | $97.72 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $144.54 Typical High $194.98 | Professional | TC · Technical part | $95.50 | $144.54 | $194.98 |
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 $89.13 Median $102.33 Typical High $109.65 | Professional | 78 · Unplanned return to OR | $89.13 | $102.33 | $109.65 |
Where Idaho sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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· 38th of 51
$170
WI $417VA $110
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.