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 $46.77 Median $60.26 Typical High $66.07 | Professional | None | $46.77 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $29.51 Typical High $33.11 | Professional | 52 · Reduced service | $23.44 | $29.51 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $12.02 Typical High $13.18 | Professional | 53 · Discontinued | $9.33 | $12.02 | $13.18 |
BCBS Idaho Setting Facility Modifier None Typical Low $63.10 Median $162.18 Typical High $707.95 | Facility | None | $63.10 | $162.18 | $707.95 |
BCBS Idaho Setting Professional Modifier None Typical Low $54.95 Median $72.44 Typical High $85.11 | Professional | None | $54.95 | $72.44 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $61.66 | Professional | None | $36.31 | $36.31 | $61.66 |
Moda Health Setting Facility Modifier None Typical Low $17.38 Median $60.26 Typical High $85.11 | Facility | None | $17.38 | $60.26 | $85.11 |
Moda Health Setting Professional Modifier None Typical Low $54.95 Median $60.26 Typical High $77.62 | Professional | None | $54.95 | $60.26 | $77.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $29.51 Typical High $33.11 | Professional | 52 · Reduced service | $28.18 | $29.51 | $33.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $12.02 Typical High $13.18 | Professional | 53 · Discontinued | $11.22 | $12.02 | $13.18 |
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 $302.00 Median $602.56 Typical High $1,023.29 | Facility | None | $302.00 | $602.56 | $1,023.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $77.62 | Professional | None | $72.44 | $72.44 | $77.62 |
Select Health Setting Facility Modifier None Typical Low $44.67 Median $45.71 Typical High $147.91 | Facility | None | $44.67 | $45.71 | $147.91 |
Select Health Setting Professional Modifier None Typical Low $43.65 Median $45.71 Typical High $75.86 | Professional | None | $43.65 | $45.71 | $75.86 |
United Setting Professional Modifier None Typical Low $30.90 Median $47.86 Typical High $66.07 | Professional | None | $30.90 | $47.86 | $66.07 |
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 $48.98 Median $56.23 Typical High $58.88 | Professional | 78 · Unplanned return to OR | $48.98 | $56.23 | $58.88 |
Where Idaho sits
The same service costs 2.9 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· 5th of 51
$72.44
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.