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 $33.11 Typical High $34.67 | Professional | None | $26.30 | $33.11 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $16.22 Typical High $17.38 | Professional | 52 · Reduced service | $13.18 | $16.22 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.61 Typical High $6.92 | Professional | 53 · Discontinued | $5.25 | $6.61 | $6.92 |
BCBS Idaho Setting Facility Modifier None Typical Low $46.77 Median $120.23 Typical High $169.82 | Facility | None | $46.77 | $120.23 | $169.82 |
BCBS Idaho Setting Professional Modifier None Typical Low $33.11 Median $43.65 Typical High $51.29 | Professional | None | $33.11 | $43.65 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $33.11 | Professional | None | $18.20 | $18.20 | $33.11 |
Moda Health Setting Facility Modifier None Typical Low $16.22 Median $33.11 Typical High $46.77 | Facility | None | $16.22 | $33.11 | $46.77 |
Moda Health Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $44.67 | Professional | None | $33.11 | $33.11 | $44.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.22 Typical High $17.38 | Professional | 52 · Reduced service | $16.22 | $16.22 | $17.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $6.92 | Professional | 53 · Discontinued | $6.61 | $6.61 | $6.92 |
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 $46.77 Median $51.29 Typical High $51.29 | Facility | None | $46.77 | $51.29 | $51.29 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $6.76 Median $50.12 Typical High $51.29 | Professional | None | $6.76 | $50.12 | $51.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $72.44 Median $117.49 Typical High $199.53 | Facility | None | $72.44 | $117.49 | $199.53 |
Regence BlueShield Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $44.67 | Professional | None | $43.65 | $43.65 | $44.67 |
Select Health Setting Facility Modifier None Typical Low $26.92 Median $27.54 Typical High $128.82 | Facility | None | $26.92 | $27.54 | $128.82 |
Select Health Setting Professional Modifier None Typical Low $26.30 Median $27.54 Typical High $45.71 | Professional | None | $26.30 | $27.54 | $45.71 |
United Setting Professional Modifier None Typical Low $17.38 Median $25.70 Typical High $34.67 | Professional | None | $17.38 | $25.70 | $34.67 |
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 $30.20 Median $33.88 Typical High $36.31 | Professional | 78 · Unplanned return to OR | $30.20 | $33.88 | $36.31 |
Where Idaho sits
The same service costs 2.8 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
$42.66
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.