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 $70.79 Median $89.13 Typical High $95.50 | Professional | None | $70.79 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $44.67 Typical High $47.86 | Professional | 52 · Reduced service | $35.48 | $44.67 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $17.78 Typical High $19.05 | Professional | 53 · Discontinued | $14.13 | $17.78 | $19.05 |
BCBS Idaho Setting Facility Modifier None Typical Low $50.12 Median $104.71 Typical High $169.82 | Facility | None | $50.12 | $104.71 | $169.82 |
BCBS Idaho Setting Professional Modifier None Typical Low $87.10 Median $114.82 Typical High $134.90 | Professional | None | $87.10 | $114.82 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $89.13 | Professional | None | $33.11 | $33.11 | $89.13 |
Moda Health Setting Facility Modifier None Typical Low $25.70 Median $89.13 Typical High $125.89 | Facility | None | $25.70 | $89.13 | $125.89 |
Moda Health Setting Professional Modifier None Typical Low $87.10 Median $89.13 Typical High $120.23 | Professional | None | $87.10 | $89.13 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $47.86 | Professional | 52 · Reduced service | $44.67 | $44.67 | $47.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $19.05 | Professional | 53 · Discontinued | $17.78 | $17.78 | $19.05 |
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 $123.03 Median $134.90 Typical High $134.90 | Facility | None | $123.03 | $134.90 | $134.90 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $17.78 Median $131.83 Typical High $134.90 | Professional | None | $17.78 | $131.83 | $134.90 |
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 $114.82 Median $114.82 Typical High $120.23 | Professional | None | $114.82 | $114.82 | $120.23 |
Select Health Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $128.82 | Facility | None | $72.44 | $72.44 | $128.82 |
Select Health Setting Professional Modifier None Typical Low $70.79 Median $74.13 Typical High $120.23 | Professional | None | $70.79 | $74.13 | $120.23 |
United Setting Professional Modifier None Typical Low $34.67 Median $57.54 Typical High $95.50 | Professional | None | $34.67 | $57.54 | $95.50 |
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 $79.43 Median $89.13 Typical High $95.50 | Professional | 78 · Unplanned return to OR | $79.43 | $89.13 | $95.50 |
Where Idaho sits
The same service costs 4.5 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· 5th of 51
$105
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.