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 $85.11 Median $97.72 Typical High $114.82 | Professional | None | $85.11 | $97.72 | $114.82 |
BCBS Idaho Setting Facility Modifier None Typical Low $186.21 Median $302.00 Typical High $501.19 | Facility | None | $186.21 | $302.00 | $501.19 |
BCBS Idaho Setting Professional Modifier None Typical Low $93.33 Median $144.54 Typical High $151.36 | Professional | None | $93.33 | $144.54 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $147.91 | Professional | None | $60.26 | $60.26 | $147.91 |
Moda Health Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $162.18 | Facility | None | $114.82 | $114.82 | $162.18 |
Moda Health Setting Professional Modifier None Typical Low $85.11 Median $97.72 Typical High $173.78 | Professional | None | $85.11 | $97.72 | $173.78 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $186.21 Median $190.55 Typical High $204.17 | Facility | None | $186.21 | $190.55 | $204.17 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $186.21 Median $190.55 Typical High $204.17 | Professional | None | $186.21 | $190.55 | $204.17 |
Regence BlueShield Setting Facility Modifier None Typical Low $257.04 Median $371.54 Typical High $524.81 | Facility | None | $257.04 | $371.54 | $524.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $173.78 | Professional | None | $93.33 | $93.33 | $173.78 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $109.65 Typical High $269.15 | Facility | None | $107.15 | $109.65 | $269.15 |
Select Health Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $169.82 | Professional | None | $89.13 | $107.15 | $169.82 |
United Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $112.20 | Professional | None | $74.13 | $74.13 | $112.20 |
2 more rates 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 Facility Modifier HO · Master's level Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | HO · Master's level | $85.11 | $85.11 | $85.11 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $83.18 Median $83.18 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $83.18 | $83.18 | $162.18 |
Where Idaho sits
The same service costs 1.7 times more in Alaska than in Ohio. 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· 8th of 51
$112
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.