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 $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,981.07 | $3,981.07 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $3,981.07 | Professional | None | $234.42 | $263.03 | $3,981.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $125.89 | Professional | 52 · Reduced service | $100.00 | $100.00 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $50.12 | Professional | 53 · Discontinued | $39.81 | $39.81 | $50.12 |
BCBS Idaho Setting Facility Modifier None Typical Low $177.83 Median $323.59 Typical High $407.38 | Facility | None | $177.83 | $323.59 | $407.38 |
BCBS Idaho Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $288.40 | Professional | None | $213.80 | $213.80 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $338.84 | Professional | None | $263.03 | $302.00 | $338.84 |
Moda Health Setting Facility Modifier None Typical Low $199.53 Median $251.19 Typical High $446.68 | Facility | None | $199.53 | $251.19 | $446.68 |
Moda Health Setting Professional Modifier None Typical Low $154.88 Median $239.88 Typical High $239.88 | Professional | None | $154.88 | $239.88 | $239.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $125.89 | Professional | 52 · Reduced service | $100.00 | $100.00 | $125.89 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $50.12 | Professional | 53 · Discontinued | $39.81 | $39.81 | $50.12 |
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 $213.80 Median $239.88 Typical High $239.88 | Facility | None | $213.80 | $239.88 | $239.88 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $31.62 Median $229.09 Typical High $239.88 | Professional | None | $31.62 | $229.09 | $239.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $181.97 Median $251.19 Typical High $331.13 | Facility | None | $181.97 | $251.19 | $331.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $239.88 | Professional | None | $213.80 | $213.80 | $239.88 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $128.82 Typical High $436.52 | Facility | None | $125.89 | $128.82 | $436.52 |
Select Health Setting Professional Modifier None Typical Low $125.89 Median $169.82 Typical High $288.40 | Professional | None | $125.89 | $169.82 | $288.40 |
United Setting Professional Modifier None Typical Low $177.83 Median $245.47 Typical High $346.74 | Professional | None | $177.83 | $245.47 | $346.74 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $199.53 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $151.36 | $199.53 | $208.93 |
Where Idaho sits
The same service costs 5.0 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· 21st of 51
$214
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.