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 Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $186.21 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $52.48 | $74.13 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $128.82 | $165.96 | $165.96 |
BCBS Idaho Setting Facility Modifier None Typical Low $91.20 Median $199.53 Typical High $380.19 | Facility | None | $91.20 | $199.53 | $380.19 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $204.17 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $204.17 | $245.47 | $288.40 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $79.43 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $79.43 | $93.33 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $165.96 Typical High $194.98 | Professional | TC · Technical part | $141.25 | $165.96 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $223.87 Typical High $251.19 | Professional | None (both parts) | $190.55 | $223.87 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $77.62 | Professional | 26 · Professional part | $60.26 | $67.61 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $158.49 Typical High $177.83 | Professional | TC · Technical part | $131.83 | $158.49 | $177.83 |
Moda Health Setting Facility Modifier None Typical Low $199.53 Median $239.88 Typical High $346.74 | Facility | None | $199.53 | $239.88 | $346.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $239.88 Typical High $245.47 | Professional | None (both parts) | $199.53 | $239.88 | $245.47 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $52.48 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $147.91 | $165.96 | $165.96 |
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 $213.80 Median $239.88 Typical High $239.88 | Facility | None | $213.80 | $239.88 | $239.88 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $208.93 Median $239.88 Typical High $245.47 | Professional | None (both parts) | $208.93 | $239.88 | $245.47 |
Regence BlueShield Setting Facility Modifier None Typical Low $107.15 Median $154.88 Typical High $199.53 | Facility | None | $107.15 | $154.88 | $199.53 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $169.82 Median $204.17 Typical High $245.47 | Professional | None (both parts) | $169.82 | $204.17 | $245.47 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $77.62 | Professional | 26 · Professional part | $52.48 | $61.66 | $77.62 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $141.25 Typical High $169.82 | Professional | TC · Technical part | $114.82 | $141.25 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $128.82 Typical High $323.59 | Facility | None | $125.89 | $128.82 | $323.59 |
Select Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $165.96 Typical High $204.17 | Professional | None (both parts) | $125.89 | $165.96 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $218.78 Typical High $288.40 | Professional | None (both parts) | $158.49 | $218.78 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $47.86 | $64.57 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $154.88 Typical High $208.93 | Professional | TC · Technical part | $112.20 | $154.88 | $208.93 |
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 $177.83 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $147.91 | $177.83 | $208.93 |
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· 10th of 51
$240
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.