How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $239.88 | Professional | None | $50.12 | $50.12 | $239.88 |
BCBS Idaho Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $239.88 | Professional | None | $158.49 | $208.93 | $239.88 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $147.91 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $109.65 | $147.91 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $169.82 Typical High $194.98 | Professional | None | $151.36 | $169.82 | $194.98 |
Moda Health Setting Professional Modifier None Typical Low $50.12 Median $81.28 Typical High $239.88 | Professional | None | $50.12 | $81.28 | $239.88 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $52.48 Median $61.66 Typical High $61.66 | Facility | None | $52.48 | $61.66 | $61.66 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $53.70 Median $61.66 Typical High $112.20 | Professional | None | $53.70 | $61.66 | $112.20 |
Regence BlueShield Setting Professional Modifier None Typical Low $204.17 Median $213.80 Typical High $239.88 | Professional | None | $204.17 | $213.80 | $239.88 |
Select Health Setting Professional Modifier None Typical Low $213.80 Median $281.84 Typical High $316.23 | Professional | None | $213.80 | $281.84 | $316.23 |
United Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $74.13 | Professional | None | $38.02 | $54.95 | $74.13 |
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 |
|---|---|---|---|---|---|
Moda Health Setting Facility Modifier QZ · CRNA, independent Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | QZ · CRNA, independent | $144.54 | $144.54 | $144.54 |