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 Typical Low $26.30 Median $26.30 Typical High $31.62 | Professional | None | $26.30 | $26.30 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $13.18 Typical High $15.85 | Professional | 52 · Reduced service | $13.18 | $13.18 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $6.31 | Professional | 53 · Discontinued | $5.25 | $5.25 | $6.31 |
BCBS Idaho Setting Facility Modifier None Typical Low $39.81 Median $69.18 Typical High $107.15 | Facility | None | $39.81 | $69.18 | $107.15 |
BCBS Idaho Setting Professional Modifier None Typical Low $7.76 Median $40.74 Typical High $40.74 | Professional | None | $7.76 | $40.74 | $40.74 |
Moda Health Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $38.02 | Facility | None | $26.30 | $26.30 | $38.02 |
Moda Health Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $31.62 | Professional | None | $26.30 | $26.30 | $31.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $13.18 Typical High $15.85 | Professional | 52 · Reduced service | $13.18 | $13.18 | $15.85 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $6.31 | Professional | 53 · Discontinued | $5.25 | $5.25 | $6.31 |
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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
Regence BlueShield Setting Facility Modifier None Typical Low $47.86 Median $70.79 Typical High $97.72 | Facility | None | $47.86 | $70.79 | $97.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Select Health Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.76 | Facility | None | $7.59 | $7.59 | $7.76 |
Select Health Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $37.15 | Professional | None | $7.59 | $7.59 | $37.15 |
United Setting Professional Modifier None Typical Low $19.95 Median $30.90 Typical High $41.69 | Professional | None | $19.95 | $30.90 | $41.69 |
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 $4.90 Median $5.75 Typical High $5.75 | Professional | 78 · Unplanned return to OR | $4.90 | $5.75 | $5.75 |
Where Idaho sits
The same service costs 44.7 times more in Nebraska than in Indiana. 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· 15th of 51
$33.88
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.