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 Facility Modifier None Typical Low $40.74 Median $70.79 Typical High $3,981.07 | Facility | None | $40.74 | $70.79 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $33.88 Typical High $38.90 | Professional | None | $26.30 | $33.88 | $38.90 |
BCBS Idaho Setting Facility Modifier None Typical Low $61.66 Median $85.11 Typical High $190.55 | Facility | None | $61.66 | $85.11 | $190.55 |
BCBS Idaho Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $50.12 | Professional | None | $33.88 | $33.88 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $39.81 | Professional | None | $23.44 | $23.44 | $39.81 |
Moda Health Setting Facility Modifier None Typical Low $33.11 Median $48.98 Typical High $512.86 | Facility | None | $33.11 | $48.98 | $512.86 |
Moda Health Setting Professional Modifier None Typical Low $25.70 Median $33.88 Typical High $43.65 | Professional | None | $25.70 | $33.88 | $43.65 |
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 $37.15 Median $41.69 Typical High $41.69 | Facility | None | $37.15 | $41.69 | $41.69 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $5.50 Median $39.81 Typical High $41.69 | Professional | None | $5.50 | $39.81 | $41.69 |
Regence BlueShield Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $39.81 | Professional | None | $33.88 | $33.88 | $39.81 |
Select Health Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $22.39 | Facility | None | $21.88 | $21.88 | $22.39 |
Select Health Setting Professional Modifier None Typical Low $21.88 Median $30.20 Typical High $50.12 | Professional | None | $21.88 | $30.20 | $50.12 |
United Setting Professional Modifier None Typical Low $25.12 Median $34.67 Typical High $45.71 | Professional | None | $25.12 | $34.67 | $45.71 |
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 $16.60 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $16.60 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $6.61 | $6.76 | $6.76 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $25.70 Median $33.88 Typical High $36.31 | Professional | 78 · Unplanned return to OR | $25.70 | $33.88 | $36.31 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $16.60 | $16.98 | $16.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $6.61 | $6.76 | $6.76 |
Where Idaho sits
The same service costs 2.8 times more in Alaska than in Florida. 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· 17th of 51
$33.88
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.