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 $32.36 Median $40.74 Typical High $44.67 | Professional | None | $32.36 | $40.74 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $20.42 Typical High $21.88 | Professional | 52 · Reduced service | $16.22 | $20.42 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $8.32 Typical High $8.91 | Professional | 53 · Discontinued | $6.46 | $8.32 | $8.91 |
BCBS Idaho Setting Facility Modifier None Typical Low $46.77 Median $104.71 Typical High $169.82 | Facility | None | $46.77 | $104.71 | $169.82 |
BCBS Idaho Setting Professional Modifier None Typical Low $39.81 Median $51.29 Typical High $61.66 | Professional | None | $39.81 | $51.29 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $41.69 | Professional | None | $23.99 | $23.99 | $41.69 |
Moda Health Setting Facility Modifier None Typical Low $16.22 Median $40.74 Typical High $58.88 | Facility | None | $16.22 | $40.74 | $58.88 |
Moda Health Setting Professional Modifier None Typical Low $39.81 Median $40.74 Typical High $53.70 | Professional | None | $39.81 | $40.74 | $53.70 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $20.42 Typical High $21.88 | Professional | 52 · Reduced service | $20.42 | $20.42 | $21.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.32 Typical High $8.91 | Professional | 53 · Discontinued | $8.13 | $8.32 | $8.91 |
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 $56.23 Median $61.66 Typical High $61.66 | Facility | None | $56.23 | $61.66 | $61.66 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $8.13 Median $60.26 Typical High $61.66 | Professional | None | $8.13 | $60.26 | $61.66 |
Regence BlueShield Setting Facility Modifier None Typical Low $66.07 Median $95.50 Typical High $131.83 | Facility | None | $66.07 | $95.50 | $131.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $53.70 | Professional | None | $51.29 | $51.29 | $53.70 |
Select Health Setting Facility Modifier None Typical Low $32.36 Median $33.11 Typical High $128.82 | Facility | None | $32.36 | $33.11 | $128.82 |
Select Health Setting Professional Modifier None Typical Low $31.62 Median $33.11 Typical High $54.95 | Professional | None | $31.62 | $33.11 | $54.95 |
United Setting Professional Modifier None Typical Low $23.44 Median $32.36 Typical High $45.71 | Professional | None | $23.44 | $32.36 | $45.71 |
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 $40.74 Typical High $43.65 | Professional | 78 · Unplanned return to OR | $35.48 | $40.74 | $43.65 |
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
$50.12
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.