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 $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $23.44 Typical High $23.44 | Professional | None | $11.48 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $5.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $2.29 | $4.68 | $4.68 |
BCBS Idaho Setting Facility Modifier None Typical Low $15.14 Median $35.48 Typical High $67.61 | Facility | None | $15.14 | $35.48 | $67.61 |
BCBS Idaho Setting Professional Modifier None Typical Low $10.23 Median $12.02 Typical High $12.30 | Professional | None | $10.23 | $12.02 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $25.12 Typical High $46.77 | Facility | None | $9.33 | $25.12 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $9.12 Typical High $17.38 | Professional | None | $7.41 | $9.12 | $17.38 |
Moda Health Setting Facility Modifier None Typical Low $12.02 Median $15.85 Typical High $75.86 | Facility | None | $12.02 | $15.85 | $75.86 |
Moda Health Setting Professional Modifier None Typical Low $11.48 Median $14.45 Typical High $23.44 | Professional | None | $11.48 | $14.45 | $23.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $5.75 | $11.75 | $11.75 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $2.29 | $4.68 | $4.68 |
Molina Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $10.47 | Professional | None | $8.91 | $8.91 | $10.47 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $12.02 Median $18.20 Typical High $22.91 | Facility | None | $12.02 | $18.20 | $22.91 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $12.02 Median $19.95 Typical High $22.91 | Professional | None | $12.02 | $19.95 | $22.91 |
Regence BlueShield Setting Facility Modifier None Typical Low $18.20 Median $28.84 Typical High $43.65 | Facility | None | $18.20 | $28.84 | $43.65 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $12.59 | Professional | None | $10.23 | $10.23 | $12.59 |
Select Health Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $52.48 | Facility | None | $12.02 | $12.02 | $52.48 |
Select Health Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $20.89 | Professional | None | $12.02 | $12.02 | $20.89 |
United Setting Professional Modifier None Typical Low $5.13 Median $6.92 Typical High $24.55 | Professional | None | $5.13 | $6.92 | $24.55 |
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 $8.51 Median $8.71 Typical High $8.71 | Professional | 78 · Unplanned return to OR | $8.51 | $8.71 | $8.71 |
Where Idaho sits
The same service costs 4.0 times more in Alaska than in Texas. 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
$12.30
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.