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 $4.90 Median $6.61 Typical High $125.89 | Professional | None | $4.90 | $6.61 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.16 Median $3.16 Typical High $3.55 | Professional | 52 · Reduced service | $3.16 | $3.16 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.26 Typical High $1.45 | Professional | 53 · Discontinued | $1.26 | $1.26 | $1.45 |
BCBS Idaho Setting Facility Modifier None Typical Low $57.54 Median $245.47 Typical High $331.13 | Facility | None | $57.54 | $245.47 | $331.13 |
BCBS Idaho Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $12.30 | Professional | None | $8.51 | $8.51 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $52.48 Typical High $85.11 | Professional | None | $7.94 | $52.48 | $85.11 |
Moda Health Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $21.38 | Facility | None | $6.31 | $6.31 | $21.38 |
Moda Health Setting Professional Modifier None Typical Low $6.76 Median $8.51 Typical High $10.47 | Professional | None | $6.76 | $8.51 | $10.47 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.16 Median $3.16 Typical High $3.55 | Professional | 52 · Reduced service | $3.16 | $3.16 | $3.55 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.26 Typical High $1.45 | Professional | 53 · Discontinued | $1.26 | $1.26 | $1.45 |
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 $9.12 Median $10.23 Typical High $10.23 | Facility | None | $9.12 | $10.23 | $10.23 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1.35 Median $9.77 Typical High $10.23 | Professional | None | $1.35 | $9.77 | $10.23 |
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 $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Select Health Setting Facility Modifier None Typical Low $5.37 Median $5.50 Typical High $263.03 | Facility | None | $5.37 | $5.50 | $263.03 |
Select Health Setting Professional Modifier None Typical Low $5.37 Median $6.03 Typical High $11.48 | Professional | None | $5.37 | $6.03 | $11.48 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.94 Typical High $15.49 | Professional | None | $5.37 | $7.94 | $15.49 |
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 $5.89 Median $8.51 Typical High $8.91 | Professional | 78 · Unplanned return to OR | $5.89 | $8.51 | $8.91 |
Where Idaho sits
The same service costs 3.9 times more in Indiana than in New York. 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· 25th of 51
$8.51
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.