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 Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $223.87 | Professional | None | $181.97 | $181.97 | $223.87 |
BCBS Idaho Setting Facility Modifier None Typical Low $81.28 Median $269.15 Typical High $616.60 | Facility | None | $81.28 | $269.15 | $616.60 |
BCBS Idaho Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $275.42 | Professional | None | $181.97 | $181.97 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $223.87 | Professional | None | $131.83 | $131.83 | $223.87 |
Moda Health Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $263.03 | Facility | None | $181.97 | $181.97 | $263.03 |
Moda Health Setting Professional Modifier None Typical Low $147.91 Median $208.93 Typical High $234.42 | Professional | None | $147.91 | $208.93 | $234.42 |
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 $208.93 Median $229.09 Typical High $229.09 | Facility | None | $208.93 | $229.09 | $229.09 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $30.20 Median $223.87 Typical High $229.09 | Professional | None | $30.20 | $223.87 | $229.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $512.86 | Facility | None | $269.15 | $389.05 | $512.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $208.93 | Professional | None | $181.97 | $181.97 | $208.93 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $125.89 | Facility | None | $123.03 | $123.03 | $125.89 |
Select Health Setting Professional Modifier None Typical Low $114.82 Median $177.83 Typical High $245.47 | Professional | None | $114.82 | $177.83 | $245.47 |
United Setting Professional Modifier None Typical Low $114.82 Median $162.18 Typical High $229.09 | Professional | None | $114.82 | $162.18 | $229.09 |
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 $91.20 Median $91.20 Typical High $112.20 | Professional | 52 · Reduced service | $91.20 | $91.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $44.67 | Professional | 53 · Discontinued | $36.31 | $36.31 | $44.67 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $190.55 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $131.83 | $190.55 | $199.53 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $91.20 Typical High $112.20 | Professional | 52 · Reduced service | $91.20 | $91.20 | $112.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $44.67 | Professional | 53 · Discontinued | $36.31 | $36.31 | $44.67 |
Where Idaho sits
The same service costs 3.0 times more in Minnesota than in Kentucky. 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· 15th of 51
$182
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.