How much rates vary
Facilitymedian $562 · 10th to 90th $132 to $955Professionalmedian $135 · 10th to 90th $60 to $251
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 $154.88 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $154.88 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $57.54 | $109.65 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $97.72 | $141.25 | $141.25 |
BCBS Idaho Setting Facility Modifier None Typical Low $199.53 Median $676.08 Typical High $933.25 | Facility | None | $199.53 | $676.08 | $933.25 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $70.79 Median $83.18 Typical High $158.49 | Professional | None (both parts) | $70.79 | $83.18 | $158.49 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $39.81 | $70.79 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $43.65 Typical High $89.13 | Professional | TC · Technical part | $37.15 | $43.65 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $30.20 | $30.20 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | TC · Technical part | $38.90 | $38.90 | $38.90 |
Moda Health Setting Facility Modifier None Typical Low $223.87 Median $363.08 Typical High $588.84 | Facility | None | $223.87 | $363.08 | $588.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $213.80 | $251.19 | $251.19 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $93.33 | $109.65 | $109.65 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $120.23 | $141.25 | $141.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.84 Median $37.15 Typical High $72.44 | Professional | None (both parts) | $28.84 | $37.15 | $72.44 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $114.82 Median $131.83 Typical High $190.55 | Facility | None | $114.82 | $131.83 | $190.55 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $114.82 | $131.83 | $223.87 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $60.26 | Professional | 26 · Professional part | $57.54 | $57.54 | $60.26 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $75.86 | Professional | TC · Technical part | $74.13 | $74.13 | $75.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $512.86 Median $741.31 Typical High $1,023.29 | Facility | None | $512.86 | $741.31 | $1,023.29 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $169.82 | Professional | None (both parts) | $134.90 | $158.49 | $169.82 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $74.13 | Professional | 26 · Professional part | $60.26 | $70.79 | $74.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $95.50 | Professional | TC · Technical part | $75.86 | $89.13 | $95.50 |
Select Health Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $87.10 | Facility | None | $83.18 | $83.18 | $87.10 |
Select Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $83.18 Typical High $8,511.38 | Professional | None (both parts) | $66.07 | $83.18 | $8,511.38 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $251.19 Typical High $338.84 | Professional | None (both parts) | $173.78 | $251.19 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $107.15 Typical High $147.91 | Professional | 26 · Professional part | $81.28 | $107.15 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $138.04 Typical High $177.83 | Professional | TC · Technical part | $93.33 | $138.04 | $177.83 |
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 $48.98 Median $54.95 Typical High $57.54 | Professional | 78 · Unplanned return to OR | $48.98 | $54.95 | $57.54 |
Where Idaho sits
The same service costs 3.2 times more in Nebraska than in Mississippi. 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· 36th of 51
$138
NE $331MS $105
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.