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 $407.38 Median $4,786.30 Typical High $6,918.31 | Facility | None | $407.38 | $4,786.30 | $6,918.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $295.12 Typical High $316.23 | Professional | None (both parts) | $223.87 | $295.12 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $223.87 Typical High $229.09 | Professional | 26 · Professional part | $162.18 | $223.87 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $75.86 | Professional | TC · Technical part | $58.88 | $72.44 | $75.86 |
BCBS Idaho Setting Facility Modifier None Typical Low $389.05 Median $977.24 Typical High $9,120.11 | Facility | None | $389.05 | $977.24 | $9,120.11 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $288.40 Median $323.59 Typical High $354.81 | Professional | None (both parts) | $288.40 | $323.59 | $354.81 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $295.12 Typical High $354.81 | Professional | 26 · Professional part | $245.47 | $295.12 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $389.05 | Professional | None (both parts) | $281.84 | $354.81 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $269.15 Typical High $295.12 | Professional | 26 · Professional part | $213.80 | $269.15 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $97.72 | Professional | TC · Technical part | $67.61 | $85.11 | $97.72 |
Moda Health Setting Facility Modifier None Typical Low $295.12 Median $389.05 Typical High $5,495.41 | Facility | None | $295.12 | $389.05 | $5,495.41 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $295.12 Typical High $316.23 | Professional | None (both parts) | $251.19 | $295.12 | $316.23 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $223.87 Typical High $316.23 | Professional | 26 · Professional part | $208.93 | $223.87 | $316.23 |
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 $338.84 Median $380.19 Typical High $380.19 | Facility | None | $338.84 | $380.19 | $380.19 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $363.08 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $363.08 | $380.19 | $380.19 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $363.08 | Professional | None (both parts) | $323.59 | $323.59 | $363.08 |
Select Health Setting Facility Modifier None Typical Low $2,951.21 Median $3,388.44 Typical High $4,786.30 | Facility | None | $2,951.21 | $3,388.44 | $4,786.30 |
Select Health Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,548.82 |
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 $251.19 Median $676.08 Typical High $2,137.96 | Professional | None (both parts) | $251.19 | $676.08 | $2,137.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $257.04 Typical High $323.59 | Professional | 26 · Professional part | $186.21 | $257.04 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $457.09 Typical High $1,949.84 | Professional | TC · Technical part | $63.10 | $457.09 | $1,949.84 |
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 $199.53 Median $229.09 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $199.53 | $229.09 | $251.19 |
Where Idaho sits
The same service costs 4.6 times more in Wisconsin than in Maryland. 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· 27th of 51
$355
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.