How much rates vary
Facilitymedian $355 · 10th to 90th $110 to $741Professionalmedian $115 · 10th to 90th $63 to $288
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 $288.40 Typical High $436.52 | Facility | None | $223.87 | $288.40 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $181.97 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $63.10 | $125.89 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $117.49 | $165.96 | $165.96 |
BCBS Idaho Setting Facility Modifier None Typical Low $257.04 Median $407.38 Typical High $812.83 | Facility | None | $257.04 | $407.38 | $812.83 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $141.25 | Professional | None (both parts) | $72.44 | $85.11 | $141.25 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $61.66 | Professional | 26 · Professional part | $36.31 | $42.66 | $61.66 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $42.66 Typical High $81.28 | Professional | TC · Technical part | $35.48 | $42.66 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $46.77 | $46.77 | $46.77 |
Moda Health Setting Facility Modifier None Typical Low $144.54 Median $288.40 Typical High $575.44 | Facility | None | $144.54 | $288.40 | $575.44 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $190.55 | $288.40 | $288.40 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $125.89 | $125.89 |
Moda Health 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 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $37.15 Typical High $74.13 | Professional | None (both parts) | $30.90 | $37.15 | $74.13 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $97.72 Median $109.65 Typical High $158.49 | Facility | None | $97.72 | $109.65 | $158.49 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $97.72 Median $109.65 Typical High $186.21 | Professional | None (both parts) | $97.72 | $109.65 | $186.21 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $48.98 | Professional | 26 · Professional part | $46.77 | $46.77 | $48.98 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $66.07 | Professional | TC · Technical part | $63.10 | $63.10 | $66.07 |
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 $120.23 Median $141.25 Typical High $154.88 | Professional | None (both parts) | $120.23 | $141.25 | $154.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $67.61 | Professional | 26 · Professional part | $52.48 | $61.66 | $67.61 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $89.13 | Professional | TC · Technical part | $69.18 | $81.28 | $89.13 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $89.13 | Facility | None | $85.11 | $85.11 | $89.13 |
Select Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $85.11 Typical High $8,511.38 | Professional | None (both parts) | $67.61 | $85.11 | $8,511.38 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $263.03 Typical High $363.08 | Professional | None (both parts) | $199.53 | $263.03 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $112.20 Typical High $154.88 | Professional | 26 · Professional part | $87.10 | $112.20 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $162.18 Typical High $208.93 | Professional | TC · Technical part | $117.49 | $162.18 | $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 $50.12 Median $56.23 Typical High $58.88 | Professional | 78 · Unplanned return to OR | $50.12 | $56.23 | $58.88 |
Where Idaho sits
The same service costs 3.5 times more in Nebraska than in New Mexico. 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· 42nd of 51
$141
NE $331NM $93.33
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.