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 Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
BCBS Idaho Setting Facility Modifier None Typical Low $245.47 Median $371.54 Typical High $891.25 | Facility | None | $245.47 | $371.54 | $891.25 |
BCBS Idaho Setting Professional Modifier None Typical Low $199.53 Median $208.93 Typical High $245.47 | Professional | None | $199.53 | $208.93 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $407.38 Typical High $758.58 | Facility | None | $151.36 | $407.38 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $281.84 Typical High $354.81 | Professional | None | $234.42 | $281.84 | $354.81 |
Moda Health Setting Facility Modifier None Typical Low $181.97 Median $245.47 Typical High $398.11 | Facility | None | $181.97 | $245.47 | $398.11 |
Moda Health Setting Professional Modifier None Typical Low $245.47 Median $257.04 Typical High $295.12 | Professional | None | $245.47 | $257.04 | $295.12 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $371.54 | Facility | None | $245.47 | $245.47 | $371.54 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $245.47 Median $257.04 Typical High $371.54 | Professional | None | $245.47 | $257.04 | $371.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $338.84 Median $549.54 Typical High $891.25 | Facility | None | $338.84 | $549.54 | $891.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $199.53 Median $208.93 Typical High $208.93 | Professional | None | $199.53 | $208.93 | $208.93 |
Select Health Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $323.59 | Facility | None | $245.47 | $245.47 | $323.59 |
Select Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $346.74 | Professional | None | $245.47 | $245.47 | $346.74 |
United Setting Professional Modifier None Typical Low $81.28 Median $87.10 Typical High $331.13 | Professional | None | $81.28 | $87.10 | $331.13 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $36.31 | $75.86 | $75.86 |
Where Idaho sits
The same service costs 21.4 times more in Montana than in Alabama. 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
$257
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.