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 $275.42 Median $4,786.30 Typical High $6,918.31 | Facility | None | $275.42 | $4,786.30 | $6,918.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $213.80 | Professional | None (both parts) | $151.36 | $162.18 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $125.89 Typical High $147.91 | Professional | 26 · Professional part | $87.10 | $125.89 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $52.48 | Professional | TC · Technical part | $38.90 | $38.90 | $52.48 |
BCBS Idaho Setting Facility Modifier None Typical Low $269.15 Median $741.31 Typical High $9,120.11 | Facility | None | $269.15 | $741.31 | $9,120.11 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $169.82 | Professional | None (both parts) | $138.04 | $158.49 | $169.82 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $141.25 Typical High $169.82 | Professional | 26 · Professional part | $120.23 | $141.25 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $223.87 Typical High $263.03 | Professional | None (both parts) | $190.55 | $223.87 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $169.82 Typical High $194.98 | Professional | 26 · Professional part | $144.54 | $169.82 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $57.54 Typical High $63.10 | Professional | TC · Technical part | $45.71 | $57.54 | $63.10 |
Moda Health Setting Facility Modifier None Typical Low $162.18 Median $245.47 Typical High $7,244.36 | Facility | None | $162.18 | $245.47 | $7,244.36 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $263.03 | Professional | None (both parts) | $162.18 | $162.18 | $263.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $125.89 Typical High $158.49 | Professional | 26 · Professional part | $123.03 | $125.89 | $158.49 |
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 $165.96 Median $181.97 Typical High $181.97 | Facility | None | $165.96 | $181.97 | $181.97 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $177.83 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $177.83 | $181.97 | $181.97 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $177.83 | Professional | None (both parts) | $158.49 | $158.49 | $177.83 |
Select Health Setting Facility Modifier None Typical Low $199.53 Median $204.17 Typical High $4,897.79 | Facility | None | $199.53 | $204.17 | $4,897.79 |
Select Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $199.53 | $199.53 | $269.15 |
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 $173.78 Median $478.63 Typical High $2,137.96 | Professional | None (both parts) | $173.78 | $478.63 | $2,137.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $169.82 Typical High $223.87 | Professional | 26 · Professional part | $123.03 | $169.82 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $331.13 Typical High $1,995.26 | Professional | TC · Technical part | $42.66 | $331.13 | $1,995.26 |
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 $95.50 Median $109.65 Typical High $120.23 | Professional | 78 · Unplanned return to OR | $95.50 | $109.65 | $120.23 |
Where Idaho sits
The same service costs 18.6 times more in Tennessee than in South Carolina. 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
$200
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.