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 $61.66 Median $61.66 Typical High $77.62 | Professional | None | $61.66 | $61.66 | $77.62 |
BCBS Idaho Setting Facility Modifier None Typical Low $104.71 Median $245.47 Typical High $331.13 | Facility | None | $104.71 | $245.47 | $331.13 |
BCBS Idaho Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $102.33 | Professional | None | $69.18 | $69.18 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $72.44 | Professional | None | $42.66 | $42.66 | $72.44 |
Moda Health Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $87.10 | Facility | None | $61.66 | $61.66 | $87.10 |
Moda Health Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $83.18 | Professional | None | $53.70 | $63.10 | $83.18 |
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 $75.86 Median $83.18 Typical High $83.18 | Facility | None | $75.86 | $83.18 | $83.18 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $11.22 Median $81.28 Typical High $83.18 | Professional | None | $11.22 | $81.28 | $83.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $75.86 | Professional | None | $69.18 | $69.18 | $75.86 |
Select Health Setting Facility Modifier None Typical Low $44.67 Median $45.71 Typical High $229.09 | Facility | None | $44.67 | $45.71 | $229.09 |
Select Health Setting Professional Modifier None Typical Low $44.67 Median $58.88 Typical High $97.72 | Professional | None | $44.67 | $58.88 | $97.72 |
United Setting Professional Modifier None Typical Low $50.12 Median $72.44 Typical High $104.71 | Professional | None | $50.12 | $72.44 | $104.71 |
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 $30.20 Median $30.20 Typical High $31.62 | Professional | 52 · Reduced service | $30.20 | $30.20 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $12.59 | Professional | 53 · Discontinued | $12.30 | $12.30 | $12.59 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $50.12 Median $69.18 Typical High $72.44 | Professional | 78 · Unplanned return to OR | $50.12 | $69.18 | $72.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $31.62 | Professional | 52 · Reduced service | $30.20 | $30.20 | $31.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $12.59 | Professional | 53 · Discontinued | $12.30 | $12.30 | $12.59 |
Where Idaho sits
The same service costs 3.5 times more in Minnesota than in Utah. 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· 19th of 51
$69.18
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.