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 Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $3,981.07 | Facility | None | $251.19 | $251.19 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $131.83 | Professional | None | $100.00 | $100.00 | $131.83 |
BCBS Idaho Setting Facility Modifier None Typical Low $165.96 Median $269.15 Typical High $524.81 | Facility | None | $165.96 | $269.15 | $524.81 |
BCBS Idaho Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $147.91 | Professional | None | $107.15 | $107.15 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $123.03 | Professional | None | $72.44 | $72.44 | $123.03 |
Moda Health Setting Facility Modifier None Typical Low $100.00 Median $117.49 Typical High $3,981.07 | Facility | None | $100.00 | $117.49 | $3,981.07 |
Moda Health Setting Professional Modifier None Typical Low $79.43 Median $117.49 Typical High $154.88 | Professional | None | $79.43 | $117.49 | $154.88 |
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 $112.20 Median $123.03 Typical High $123.03 | Facility | None | $112.20 | $123.03 | $123.03 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $16.22 Median $120.23 Typical High $123.03 | Professional | None | $16.22 | $120.23 | $123.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $120.23 | Professional | None | $107.15 | $107.15 | $120.23 |
Select Health Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $380.19 | Facility | None | $66.07 | $66.07 | $380.19 |
Select Health Setting Professional Modifier None Typical Low $66.07 Median $74.13 Typical High $125.89 | Professional | None | $66.07 | $74.13 | $125.89 |
United Setting Professional Modifier None Typical Low $93.33 Median $131.83 Typical High $173.78 | Professional | None | $93.33 | $131.83 | $173.78 |
5 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 $50.12 Median $50.12 Typical High $58.88 | Professional | 52 · Reduced service | $50.12 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | 53 · Discontinued | $19.95 | $19.95 | $23.44 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $77.62 Median $102.33 Typical High $107.15 | Professional | 78 · Unplanned return to OR | $77.62 | $102.33 | $107.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $50.12 Typical High $58.88 | Professional | 52 · Reduced service | $50.12 | $50.12 | $58.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | 53 · Discontinued | $19.95 | $19.95 | $23.44 |
Where Idaho sits
The same service costs 2.8 times more in Minnesota than in Utah. 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· 26th of 51
$107
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.