How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $36.31 Median $46.77 Typical High $50.12 | Professional | None | $36.31 | $46.77 | $50.12 |
BCBS Idaho Setting Facility Modifier None Typical Low $66.07 Median $109.65 Typical High $144.54 | Facility | None | $66.07 | $109.65 | $144.54 |
BCBS Idaho Setting Professional Modifier None Typical Low $53.70 Median $66.07 Typical High $77.62 | Professional | None | $53.70 | $66.07 | $77.62 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $32.36 Median $45.71 Typical High $54.95 | Professional | 78 · Unplanned return to OR | $32.36 | $45.71 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $52.48 Typical High $66.07 | Professional | None | $42.66 | $52.48 | $66.07 |
Hally Health Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $199.53 | Professional | None | $165.96 | $165.96 | $199.53 |
Moda Health Setting Facility Modifier None Typical Low $46.77 Median $50.12 Typical High $72.44 | Facility | None | $46.77 | $50.12 | $72.44 |
Moda Health Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $70.79 | Professional | None | $39.81 | $50.12 | $70.79 |
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 $54.95 Median $54.95 Typical High $64.57 | Facility | None | $54.95 | $54.95 | $64.57 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $64.57 | Professional | None | $45.71 | $54.95 | $64.57 |
Regence BlueShield Setting Professional Modifier None Typical Low $48.98 Median $53.70 Typical High $69.18 | Professional | None | $48.98 | $53.70 | $69.18 |
Select Health Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $34.67 | Facility | None | $33.88 | $33.88 | $34.67 |
Select Health Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $58.88 | Professional | None | $33.88 | $47.86 | $58.88 |
United Setting Professional Modifier None Typical Low $38.90 Median $53.70 Typical High $74.13 | Professional | None | $38.90 | $53.70 | $74.13 |
4 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $20.42 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $8.13 | $10.00 | $10.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $21.38 | $25.12 | $25.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $8.71 | $10.00 | $10.00 |
Where Idaho sits
The same service costs 2.7 times more in Alaska than in New York. 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· 14th of 51
$54.95
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.