How much rates vary
Facilitymedian $200 · 10th to 90th $98 to $794Professionalmedian $151 · 10th to 90th $112 to $209
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 $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $107.15 | $151.36 | $151.36 |
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 $52.48 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $52.48 | $79.43 | $79.43 |
BCBS Idaho Setting Facility Modifier None Typical Low $114.82 Median $263.03 Typical High $812.83 | Facility | None | $114.82 | $263.03 | $812.83 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $144.54 Median $186.21 Typical High $218.78 | Professional | None (both parts) | $144.54 | $186.21 | $218.78 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $89.13 | Professional | 26 · Professional part | $60.26 | $75.86 | $89.13 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $131.83 | Professional | TC · Technical part | $85.11 | $112.20 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $154.88 | Professional | None (both parts) | $117.49 | $141.25 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $67.61 Typical High $72.44 | Professional | 26 · Professional part | $57.54 | $67.61 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $81.28 | Professional | TC · Technical part | $58.88 | $74.13 | $81.28 |
Moda Health Setting Facility Modifier None Typical Low $114.82 Median $151.36 Typical High $223.87 | Facility | None | $114.82 | $151.36 | $223.87 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $151.36 Typical High $181.97 | Professional | None (both parts) | $114.82 | $151.36 | $181.97 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $72.44 | Professional | 26 · Professional part | $48.98 | $70.79 | $72.44 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $79.43 Typical High $109.65 | Professional | TC · Technical part | $61.66 | $79.43 | $109.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $57.54 | Professional | None (both parts) | $33.11 | $33.11 | $57.54 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $165.96 Median $186.21 Typical High $186.21 | Facility | None | $165.96 | $186.21 | $186.21 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $190.55 | Professional | None (both parts) | $151.36 | $186.21 | $190.55 |
Regence BlueShield Setting Facility Modifier None Typical Low $114.82 Median $186.21 Typical High $331.13 | Facility | None | $114.82 | $186.21 | $331.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $165.96 | Professional | None (both parts) | $123.03 | $144.54 | $165.96 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $74.13 | Professional | 26 · Professional part | $51.29 | $60.26 | $74.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $91.20 | Professional | TC · Technical part | $72.44 | $85.11 | $91.20 |
Select Health Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $100.00 | Facility | None | $97.72 | $97.72 | $100.00 |
Select Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $158.49 | Professional | None (both parts) | $97.72 | $123.03 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $125.89 Typical High $162.18 | Professional | None (both parts) | $95.50 | $125.89 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $63.10 Typical High $85.11 | Professional | 26 · Professional part | $44.67 | $63.10 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $61.66 Typical High $89.13 | Professional | TC · Technical part | $47.86 | $61.66 | $89.13 |
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 $107.15 Median $134.90 Typical High $158.49 | Professional | 78 · Unplanned return to OR | $107.15 | $134.90 | $158.49 |
Where Idaho sits
The same service costs 3.2 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· 12th of 51
$151
AK $224TX $70.79
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.