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 $208.93 Median $208.93 Typical High $5,495.41 | Facility | None | $208.93 | $208.93 | $5,495.41 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $194.98 Typical High $263.03 | Professional | None (both parts) | $177.83 | $194.98 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $134.90 Typical High $181.97 | Professional | 26 · Professional part | $57.54 | $134.90 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $69.18 | Professional | TC · Technical part | $42.66 | $50.12 | $69.18 |
BCBS Idaho Setting Facility Modifier None Typical Low $363.08 Median $891.25 Typical High $3,981.07 | Facility | None | $363.08 | $891.25 | $3,981.07 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $131.83 | Professional | None (both parts) | $91.20 | $109.65 | $131.83 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $102.33 Typical High $112.20 | Professional | 26 · Professional part | $91.20 | $102.33 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $257.04 Typical High $281.84 | Professional | None (both parts) | $204.17 | $257.04 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $194.98 Typical High $213.80 | Professional | 26 · Professional part | $154.88 | $194.98 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $63.10 Typical High $70.79 | Professional | TC · Technical part | $50.12 | $63.10 | $70.79 |
Moda Health Setting Facility Modifier None Typical Low $177.83 Median $1,949.84 Typical High $13,489.63 | Facility | None | $177.83 | $1,949.84 | $13,489.63 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $245.47 | Professional | None (both parts) | $177.83 | $177.83 | $245.47 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $134.90 Typical High $181.97 | Professional | 26 · Professional part | $81.28 | $134.90 | $181.97 |
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 $107.15 Median $120.23 Typical High $120.23 | Facility | None | $107.15 | $120.23 | $120.23 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $114.82 | $120.23 | $120.23 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $177.83 | Professional | None (both parts) | $131.83 | $131.83 | $177.83 |
Select Health Setting Facility Modifier None Typical Low $1,348.96 Median $1,584.89 Typical High $2,511.89 | Facility | None | $1,348.96 | $1,584.89 | $2,511.89 |
Select Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
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 $309.03 Median $478.63 Typical High $645.65 | Professional | None (both parts) | $309.03 | $478.63 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $229.09 Typical High $302.00 | Professional | 26 · Professional part | $131.83 | $229.09 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $269.15 Typical High $363.08 | Professional | TC · Technical part | $134.90 | $269.15 | $363.08 |
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 $63.10 Median $72.44 Typical High $79.43 | Professional | 78 · Unplanned return to OR | $63.10 | $72.44 | $79.43 |
Where Idaho sits
The same service costs 4.8 times more in Nebraska 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· 40th of 51
$229
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.