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 $177.83 Median $177.83 Typical High $3,981.07 | Facility | None | $177.83 | $177.83 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $79.43 Typical High $83.18 | Professional | None | $47.86 | $79.43 | $83.18 |
BCBS Idaho Setting Facility Modifier None Typical Low $89.13 Median $208.93 Typical High $407.38 | Facility | None | $89.13 | $208.93 | $407.38 |
BCBS Idaho Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $537.03 | Professional | None | $346.74 | $346.74 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $758.58 | Professional | None | $257.04 | $302.00 | $758.58 |
Moda Health Setting Facility Modifier None Typical Low $79.43 Median $112.20 Typical High $389.05 | Facility | None | $79.43 | $112.20 | $389.05 |
Moda Health Setting Professional Modifier None Typical Low $79.43 Median $281.84 Typical High $446.68 | Professional | None | $79.43 | $281.84 | $446.68 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $154.88 Typical High $186.21 | Professional | None | $30.20 | $154.88 | $186.21 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $398.11 Median $436.52 Typical High $436.52 | Facility | None | $398.11 | $436.52 | $436.52 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $57.54 Median $426.58 Typical High $436.52 | Professional | None | $57.54 | $426.58 | $436.52 |
Regence BlueShield Setting Facility Modifier None Typical Low $218.78 Median $309.03 Typical High $416.87 | Facility | None | $218.78 | $309.03 | $416.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $389.05 | Professional | None | $346.74 | $346.74 | $389.05 |
Select Health Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $239.88 | Facility | None | $234.42 | $234.42 | $239.88 |
Select Health Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $512.86 | Professional | None | $234.42 | $257.04 | $512.86 |
United Setting Professional Modifier None Typical Low $40.74 Median $56.23 Typical High $77.62 | Professional | None | $40.74 | $56.23 | $77.62 |
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 $39.81 Median $39.81 Typical High $41.69 | Professional | 52 · Reduced service | $39.81 | $39.81 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $16.60 | Professional | 53 · Discontinued | $15.85 | $15.85 | $16.60 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $363.08 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $251.19 | $363.08 | $380.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $39.81 Typical High $41.69 | Professional | 52 · Reduced service | $39.81 | $39.81 | $41.69 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $16.60 | Professional | 53 · Discontinued | $15.85 | $15.85 | $16.60 |
Where Idaho sits
The same service costs 13.5 times more in Minnesota 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· 10th of 51
$347
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.