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 $41.69 Median $52.48 Typical High $56.23 | Professional | None | $41.69 | $52.48 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $26.30 Typical High $28.18 | Professional | 52 · Reduced service | $20.89 | $26.30 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $10.47 Typical High $11.22 | Professional | 53 · Discontinued | $8.32 | $10.47 | $11.22 |
BCBS Idaho Setting Facility Modifier None Typical Low $100.00 Median $309.03 Typical High $436.52 | Facility | None | $100.00 | $309.03 | $436.52 |
BCBS Idaho Setting Professional Modifier None Typical Low $54.95 Median $69.18 Typical High $85.11 | Professional | None | $54.95 | $69.18 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $52.48 | Professional | None | $28.84 | $28.84 | $52.48 |
Moda Health Setting Facility Modifier None Typical Low $28.18 Median $56.23 Typical High $87.10 | Facility | None | $28.18 | $56.23 | $87.10 |
Moda Health Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $70.79 | Professional | None | $52.48 | $52.48 | $70.79 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $26.30 Typical High $28.18 | Professional | 52 · Reduced service | $26.30 | $26.30 | $28.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $11.22 | Professional | 53 · Discontinued | $10.47 | $10.47 | $11.22 |
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 $77.62 Median $85.11 Typical High $85.11 | Facility | None | $77.62 | $85.11 | $85.11 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $11.22 Median $81.28 Typical High $85.11 | Professional | None | $11.22 | $81.28 | $85.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $512.86 | Facility | None | $269.15 | $389.05 | $512.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $70.79 | Professional | None | $69.18 | $69.18 | $70.79 |
Select Health Setting Facility Modifier None Typical Low $44.67 Median $45.71 Typical High $346.74 | Facility | None | $44.67 | $45.71 | $346.74 |
Select Health Setting Professional Modifier None Typical Low $42.66 Median $44.67 Typical High $75.86 | Professional | None | $42.66 | $44.67 | $75.86 |
United Setting Professional Modifier None Typical Low $28.84 Median $40.74 Typical High $56.23 | Professional | None | $28.84 | $40.74 | $56.23 |
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 $47.86 Median $56.23 Typical High $58.88 | Professional | 78 · Unplanned return to OR | $47.86 | $56.23 | $58.88 |
Where Idaho sits
The same service costs 2.6 times more in Alaska than in Kentucky. 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· 3rd of 51
$69.18
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.