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 $52.48 Median $66.07 Typical High $70.79 | Professional | None | $52.48 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $32.36 Typical High $35.48 | Professional | 52 · Reduced service | $26.30 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $13.18 Typical High $14.45 | Professional | 53 · Discontinued | $10.47 | $13.18 | $14.45 |
BCBS Idaho Setting Facility Modifier None Typical Low $51.29 Median $123.03 Typical High $173.78 | Facility | None | $51.29 | $123.03 | $173.78 |
BCBS Idaho Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $107.15 | Professional | None | $69.18 | $85.11 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $67.61 | Professional | None | $39.81 | $39.81 | $67.61 |
Moda Health Setting Facility Modifier None Typical Low $38.02 Median $66.07 Typical High $93.33 | Facility | None | $38.02 | $66.07 | $93.33 |
Moda Health Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $87.10 | Professional | None | $66.07 | $66.07 | $87.10 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $32.36 Typical High $35.48 | Professional | 52 · Reduced service | $32.36 | $32.36 | $35.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $14.45 | Professional | 53 · Discontinued | $13.18 | $13.18 | $14.45 |
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 $95.50 Median $107.15 Typical High $107.15 | Facility | None | $95.50 | $107.15 | $107.15 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $14.13 Median $102.33 Typical High $107.15 | Professional | None | $14.13 | $102.33 | $107.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $107.15 Median $154.88 Typical High $199.53 | Facility | None | $107.15 | $154.88 | $199.53 |
Regence BlueShield Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | None | $85.11 | $85.11 | $87.10 |
Select Health Setting Facility Modifier None Typical Low $56.23 Median $57.54 Typical High $128.82 | Facility | None | $56.23 | $57.54 | $128.82 |
Select Health Setting Professional Modifier None Typical Low $52.48 Median $56.23 Typical High $93.33 | Professional | None | $52.48 | $56.23 | $93.33 |
United Setting Professional Modifier None Typical Low $37.15 Median $51.29 Typical High $74.13 | Professional | None | $37.15 | $51.29 | $74.13 |
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 $58.88 Median $70.79 Typical High $74.13 | Professional | 78 · Unplanned return to OR | $58.88 | $70.79 | $74.13 |
Where Idaho sits
The same service costs 2.6 times more in Alaska than in Indiana. 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
$85.11
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.