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 $38.90 Median $48.98 Typical High $53.70 | Professional | None | $38.90 | $48.98 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $24.55 Typical High $26.92 | Professional | 52 · Reduced service | $19.50 | $24.55 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $9.77 Typical High $10.72 | Professional | 53 · Discontinued | $7.76 | $9.77 | $10.72 |
BCBS Idaho Setting Facility Modifier None Typical Low $48.98 Median $104.71 Typical High $169.82 | Facility | None | $48.98 | $104.71 | $169.82 |
BCBS Idaho Setting Professional Modifier None Typical Low $47.86 Median $63.10 Typical High $74.13 | Professional | None | $47.86 | $63.10 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $50.12 | Professional | None | $27.54 | $27.54 | $50.12 |
Moda Health Setting Facility Modifier None Typical Low $19.05 Median $48.98 Typical High $70.79 | Facility | None | $19.05 | $48.98 | $70.79 |
Moda Health Setting Professional Modifier None Typical Low $47.86 Median $48.98 Typical High $64.57 | Professional | None | $47.86 | $48.98 | $64.57 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $24.55 Typical High $26.92 | Professional | 52 · Reduced service | $24.55 | $24.55 | $26.92 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $10.72 | Professional | 53 · Discontinued | $9.77 | $9.77 | $10.72 |
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 $66.07 Median $74.13 Typical High $74.13 | Facility | None | $66.07 | $74.13 | $74.13 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $9.77 Median $70.79 Typical High $74.13 | Professional | None | $9.77 | $70.79 | $74.13 |
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 $63.10 Median $63.10 Typical High $64.57 | Professional | None | $63.10 | $63.10 | $64.57 |
Select Health Setting Facility Modifier None Typical Low $38.90 Median $39.81 Typical High $128.82 | Facility | None | $38.90 | $39.81 | $128.82 |
Select Health Setting Professional Modifier None Typical Low $38.90 Median $41.69 Typical High $67.61 | Professional | None | $38.90 | $41.69 | $67.61 |
United Setting Professional Modifier None Typical Low $26.92 Median $38.90 Typical High $52.48 | Professional | None | $26.92 | $38.90 | $52.48 |
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 $44.67 Median $48.98 Typical High $51.29 | Professional | 78 · Unplanned return to OR | $44.67 | $48.98 | $51.29 |
Where Idaho sits
The same service costs 3.5 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
$63.10
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.