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 $223.87 Median $223.87 Typical High $331.13 | Facility | None | $223.87 | $223.87 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $186.21 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $48.98 | $70.79 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $134.90 | $190.55 | $190.55 |
BCBS Idaho Setting Facility Modifier None Typical Low $239.88 Median $467.74 Typical High $870.96 | Facility | None | $239.88 | $467.74 | $870.96 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $204.17 Median $257.04 Typical High $302.00 | Professional | None (both parts) | $204.17 | $257.04 | $302.00 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $85.11 | Professional | 26 · Professional part | $57.54 | $72.44 | $85.11 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $181.97 Typical High $213.80 | Professional | TC · Technical part | $144.54 | $181.97 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $281.84 | Professional | None (both parts) | $213.80 | $257.04 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $74.13 | Professional | 26 · Professional part | $60.26 | $67.61 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $190.55 Typical High $204.17 | Professional | TC · Technical part | $154.88 | $190.55 | $204.17 |
Moda Health Setting Facility Modifier None Typical Low $218.78 Median $263.03 Typical High $371.54 | Facility | None | $218.78 | $263.03 | $371.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $263.03 Typical High $281.84 | Professional | None (both parts) | $218.78 | $263.03 | $281.84 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $77.62 | Professional | 26 · Professional part | $48.98 | $70.79 | $77.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $169.82 | $190.55 | $190.55 |
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 $223.87 Median $251.19 Typical High $251.19 | Facility | None | $223.87 | $251.19 | $251.19 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $257.04 | Professional | None (both parts) | $208.93 | $251.19 | $257.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $269.15 Median $407.38 Typical High $512.86 | Facility | None | $269.15 | $407.38 | $512.86 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $263.03 | Professional | None (both parts) | $165.96 | $204.17 | $263.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $74.13 | Professional | 26 · Professional part | $48.98 | $57.54 | $74.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $190.55 | Professional | TC · Technical part | $123.03 | $144.54 | $190.55 |
Select Health Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $134.90 | Facility | None | $131.83 | $131.83 | $134.90 |
Select Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $208.93 | Professional | None (both parts) | $131.83 | $162.18 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $234.42 Typical High $316.23 | Professional | None (both parts) | $173.78 | $234.42 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $66.07 Typical High $89.13 | Professional | 26 · Professional part | $44.67 | $66.07 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $173.78 Typical High $229.09 | Professional | TC · Technical part | $131.83 | $173.78 | $229.09 |
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 $147.91 Median $181.97 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $147.91 | $181.97 | $213.80 |
Where Idaho sits
The same service costs 3.3 times more in Alaska 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· 8th of 51
$257
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.