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 $275.42 Median $323.59 Typical High $338.84 | Professional | None (both parts) | $275.42 | $323.59 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $79.43 | $109.65 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $218.78 Typical High $239.88 | Professional | TC · Technical part | $190.55 | $218.78 | $239.88 |
BCBS Idaho Setting Facility Modifier None Typical Low $229.09 Median $380.19 Typical High $1,584.89 | Facility | None | $229.09 | $380.19 | $1,584.89 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $363.08 Median $446.68 Typical High $537.03 | Professional | None (both parts) | $363.08 | $446.68 | $537.03 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $144.54 Typical High $169.82 | Professional | 26 · Professional part | $114.82 | $144.54 | $169.82 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $309.03 Typical High $363.08 | Professional | TC · Technical part | $245.47 | $309.03 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $380.19 Typical High $407.38 | Professional | None (both parts) | $302.00 | $380.19 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $125.89 Typical High $134.90 | Professional | 26 · Professional part | $102.33 | $125.89 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $239.88 Typical High $269.15 | Professional | TC · Technical part | $199.53 | $239.88 | $269.15 |
Moda Health Setting Facility Modifier None Typical Low $204.17 Median $323.59 Typical High $467.74 | Facility | None | $204.17 | $323.59 | $467.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $323.59 Typical High $436.52 | Professional | None (both parts) | $288.40 | $323.59 | $436.52 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $138.04 | Professional | 26 · Professional part | $83.18 | $109.65 | $138.04 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $218.78 Typical High $302.00 | Professional | TC · Technical part | $199.53 | $218.78 | $302.00 |
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 $398.11 Median $446.68 Typical High $446.68 | Facility | None | $398.11 | $446.68 | $446.68 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $380.19 Median $446.68 Typical High $457.09 | Professional | None (both parts) | $380.19 | $446.68 | $457.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $954.99 Median $1,348.96 Typical High $1,737.80 | Facility | None | $954.99 | $1,348.96 | $1,737.80 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $309.03 Median $363.08 Typical High $426.58 | Professional | None (both parts) | $309.03 | $363.08 | $426.58 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $114.82 Typical High $141.25 | Professional | 26 · Professional part | $97.72 | $114.82 | $141.25 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $245.47 Typical High $281.84 | Professional | TC · Technical part | $208.93 | $245.47 | $281.84 |
Select Health Setting Facility Modifier None Typical Low $234.42 Median $239.88 Typical High $1,230.27 | Facility | None | $234.42 | $239.88 | $1,230.27 |
Select Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $416.87 | Professional | None (both parts) | $234.42 | $302.00 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $338.84 Typical High $457.09 | Professional | None (both parts) | $245.47 | $338.84 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $114.82 Typical High $154.88 | Professional | 26 · Professional part | $85.11 | $114.82 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $234.42 Typical High $309.03 | Professional | TC · Technical part | $162.18 | $234.42 | $309.03 |
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 $263.03 Median $323.59 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $263.03 | $323.59 | $380.19 |
Where Idaho sits
The same service costs 3.7 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· 11th of 51
$372
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.