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 $19.50 Median $24.55 Typical High $24.55 | Professional | None | $19.50 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $9.77 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.90 Typical High $4.90 | Professional | 53 · Discontinued | $3.89 | $4.90 | $4.90 |
BCBS Idaho Setting Facility Modifier None Typical Low $40.74 Median $117.49 Typical High $169.82 | Facility | None | $40.74 | $117.49 | $169.82 |
BCBS Idaho Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $38.90 | Professional | None | $25.12 | $31.62 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $22.91 | Professional | None | $12.30 | $12.30 | $22.91 |
Moda Health Setting Facility Modifier None Typical Low $16.98 Median $24.55 Typical High $34.67 | Facility | None | $16.98 | $24.55 | $34.67 |
Moda Health Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $32.36 | Professional | None | $24.55 | $24.55 | $32.36 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $12.30 | $12.30 | $12.30 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | 53 · Discontinued | $4.90 | $4.90 | $4.90 |
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 $34.67 Median $38.90 Typical High $38.90 | Facility | None | $34.67 | $38.90 | $38.90 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $5.13 Median $37.15 Typical High $38.90 | Professional | None | $5.13 | $37.15 | $38.90 |
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 $31.62 Median $31.62 Typical High $32.36 | Professional | None | $31.62 | $31.62 | $32.36 |
Select Health Setting Facility Modifier None Typical Low $20.42 Median $20.89 Typical High $128.82 | Facility | None | $20.42 | $20.89 | $128.82 |
Select Health Setting Professional Modifier None Typical Low $19.05 Median $20.42 Typical High $33.88 | Professional | None | $19.05 | $20.42 | $33.88 |
United Setting Professional Modifier None Typical Low $12.30 Median $16.98 Typical High $23.99 | Professional | None | $12.30 | $16.98 | $23.99 |
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 $21.88 Median $25.70 Typical High $26.92 | Professional | 78 · Unplanned return to OR | $21.88 | $25.70 | $26.92 |
Where Idaho sits
The same service costs 2.6 times more in Alaska than in Florida. 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
$31.62
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.