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 $33.88 Median $51.29 Typical High $147.91 | Professional | None | $33.88 | $51.29 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $25.70 Typical High $74.13 | Professional | 52 · Reduced service | $21.88 | $25.70 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $10.23 Typical High $29.51 | Professional | 53 · Discontinued | $8.71 | $10.23 | $29.51 |
BCBS Idaho Setting Facility Modifier None Typical Low $128.82 Median $1,023.29 Typical High $1,698.24 | Facility | None | $128.82 | $1,023.29 | $1,698.24 |
BCBS Idaho Setting Professional Modifier None Typical Low $45.71 Median $141.25 Typical High $281.84 | Professional | None | $45.71 | $141.25 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $69.18 Typical High $141.25 | Professional | None | $44.67 | $69.18 | $141.25 |
Hally Health Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $158.49 | Professional | None | $131.83 | $131.83 | $158.49 |
Moda Health Setting Facility Modifier None Typical Low $43.65 Median $74.13 Typical High $147.91 | Facility | None | $43.65 | $74.13 | $147.91 |
Moda Health Setting Professional Modifier None Typical Low $42.66 Median $58.88 Typical High $229.09 | Professional | None | $42.66 | $58.88 | $229.09 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $74.13 | Professional | 52 · Reduced service | $25.70 | $25.70 | $74.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $29.51 | Professional | 53 · Discontinued | $10.23 | $10.23 | $29.51 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $70.79 | Professional | None | $33.11 | $33.11 | $70.79 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $234.42 | Facility | None | $47.86 | $47.86 | $234.42 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $46.77 Median $154.88 Typical High $234.42 | Professional | None | $46.77 | $154.88 | $234.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $954.99 Median $1,348.96 Typical High $1,737.80 | Facility | None | $954.99 | $1,348.96 | $1,737.80 |
Regence BlueShield Setting Professional Modifier None Typical Low $45.71 Median $102.33 Typical High $186.21 | Professional | None | $45.71 | $102.33 | $186.21 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $125.89 Typical High $204.17 | Facility | None | $123.03 | $125.89 | $204.17 |
Select Health Setting Professional Modifier None Typical Low $42.66 Median $123.03 Typical High $190.55 | Professional | None | $42.66 | $123.03 | $190.55 |
United Setting Professional Modifier None Typical Low $36.31 Median $64.57 Typical High $112.20 | Professional | None | $36.31 | $64.57 | $112.20 |
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 $35.48 Median $173.78 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $35.48 | $173.78 | $204.17 |
Where Idaho sits
The same service costs 4.2 times more in Washington than in Maryland. 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· 29th of 51
$67.61
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.