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 $630.96 Median $630.96 Typical High $3,981.07 | Facility | None | $630.96 | $630.96 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $316.23 | Professional | None | $245.47 | $245.47 | $316.23 |
BCBS Idaho Setting Facility Modifier None Typical Low $363.08 Median $575.44 Typical High $1,023.29 | Facility | None | $363.08 | $575.44 | $1,023.29 |
BCBS Idaho Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $354.81 | Professional | None | $263.03 | $263.03 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $302.00 | Professional | None | $177.83 | $177.83 | $302.00 |
Moda Health Setting Facility Modifier None Typical Low $245.47 Median $295.12 Typical High $3,981.07 | Facility | None | $245.47 | $295.12 | $3,981.07 |
Moda Health Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $295.12 | Professional | None | $199.53 | $281.84 | $295.12 |
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 $269.15 Median $295.12 Typical High $295.12 | Facility | None | $269.15 | $295.12 | $295.12 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $38.90 Median $288.40 Typical High $295.12 | Professional | None | $38.90 | $288.40 | $295.12 |
Regence BlueShield Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $295.12 | Professional | None | $263.03 | $263.03 | $295.12 |
Select Health Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $891.25 | Facility | None | $158.49 | $158.49 | $891.25 |
Select Health Setting Professional Modifier None Typical Low $158.49 Median $177.83 Typical High $302.00 | Professional | None | $158.49 | $177.83 | $302.00 |
United Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $407.38 | Professional | None | $213.80 | $295.12 | $407.38 |
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 $120.23 Median $120.23 Typical High $147.91 | Professional | 52 · Reduced service | $120.23 | $120.23 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $58.88 | Professional | 53 · Discontinued | $48.98 | $48.98 | $58.88 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $245.47 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $190.55 | $245.47 | $257.04 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $120.23 Typical High $147.91 | Professional | 52 · Reduced service | $120.23 | $120.23 | $147.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $58.88 | Professional | 53 · Discontinued | $48.98 | $48.98 | $58.88 |
Where Idaho sits
The same service costs 2.5 times more in Minnesota 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· 20th of 51
$263
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.