How much rates vary
Facilitymedian $219 · 10th to 90th $89 to $389Professionalmedian $100 · 10th to 90th $65 to $141
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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $89.13 Typical High $97.72 | Professional | None (both parts) | $87.10 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $19.50 | $26.30 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $74.13 | Professional | TC · Technical part | $61.66 | $61.66 | $74.13 |
BCBS Idaho Setting Facility Modifier None Typical Low $102.33 Median $245.47 Typical High $331.13 | Facility | None | $102.33 | $245.47 | $331.13 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $100.00 Median $104.71 Typical High $162.18 | Professional | None (both parts) | $100.00 | $104.71 | $162.18 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.84 Typical High $41.69 | Professional | 26 · Professional part | $26.92 | $28.84 | $41.69 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $74.13 Typical High $120.23 | Professional | TC · Technical part | $72.44 | $74.13 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $91.20 Typical High $109.65 | Professional | None (both parts) | $64.57 | $91.20 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.12 Typical High $30.20 | Professional | 26 · Professional part | $17.78 | $25.12 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $67.61 Typical High $77.62 | Professional | TC · Technical part | $45.71 | $67.61 | $77.62 |
Moda Health Setting Facility Modifier None Typical Low $81.28 Median $97.72 Typical High $125.89 | Facility | None | $81.28 | $97.72 | $125.89 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $95.50 Typical High $131.83 | Professional | None (both parts) | $85.11 | $95.50 | $131.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.30 Typical High $33.11 | Professional | 26 · Professional part | $21.38 | $26.30 | $33.11 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $63.10 Typical High $100.00 | Professional | TC · Technical part | $61.66 | $63.10 | $100.00 |
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 $125.89 Typical High $125.89 | Facility | None | $107.15 | $125.89 | $125.89 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $17.38 Median $125.89 Typical High $128.82 | Professional | None (both parts) | $17.38 | $125.89 | $128.82 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $22.91 | $22.91 | $22.91 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $64.57 | $64.57 | $64.57 |
Regence BlueShield Setting Facility Modifier None Typical Low $218.78 Median $331.13 Typical High $416.87 | Facility | None | $218.78 | $331.13 | $416.87 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $109.65 | Professional | None (both parts) | $100.00 | $100.00 | $109.65 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $31.62 | Professional | 26 · Professional part | $26.92 | $26.92 | $31.62 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $77.62 | Professional | TC · Technical part | $72.44 | $72.44 | $77.62 |
Select Health Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $234.42 | Facility | None | $70.79 | $70.79 | $234.42 |
Select Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $70.79 Typical High $125.89 | Professional | None (both parts) | $66.07 | $70.79 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $100.00 Typical High $138.04 | Professional | None (both parts) | $74.13 | $100.00 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.70 Typical High $35.48 | Professional | 26 · Professional part | $19.05 | $25.70 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $74.13 Typical High $102.33 | Professional | TC · Technical part | $53.70 | $74.13 | $102.33 |
6 more rates 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 $72.44 Median $107.15 Typical High $114.82 | Professional | 78 · Unplanned return to OR | $72.44 | $107.15 | $114.82 |
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 22 · Increased work | $114.82 | $114.82 | $114.82 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 54 · Surgery only | $72.44 | $72.44 | $72.44 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $10.47 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 63 · Small infant | $114.82 | $114.82 | $114.82 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 78 · Unplanned return to OR | $77.62 | $77.62 | $77.62 |
Where Idaho sits
The same service costs 2.4 times more in North Dakota 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· 12th of 51
$100
ND $148TX $61.66
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.