How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $173.78 Median $173.78 Typical High $177.83 | Facility | None | $173.78 | $173.78 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $177.83 Typical High $208.93 | Professional | None | $154.88 | $177.83 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $87.10 Typical High $89.13 | Professional | 52 · Reduced service | $81.28 | $87.10 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $32.36 | $35.48 | $35.48 |
BCBS Idaho Setting Facility Modifier None Typical Low $257.04 Median $363.08 Typical High $741.31 | Facility | None | $257.04 | $363.08 | $741.31 |
BCBS Idaho Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $186.21 | Professional | None | $138.04 | $162.18 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $186.21 Typical High $223.87 | Professional | None | $123.03 | $186.21 | $223.87 |
Moda Health Setting Facility Modifier None Typical Low $173.78 Median $177.83 Typical High $302.00 | Facility | None | $173.78 | $177.83 | $302.00 |
Moda Health Setting Professional Modifier None Typical Low $158.49 Median $177.83 Typical High $208.93 | Professional | None | $158.49 | $177.83 | $208.93 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $87.10 Typical High $89.13 | Professional | 52 · Reduced service | $81.28 | $87.10 | $89.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $33.11 | $35.48 | $35.48 |
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 $199.53 Median $199.53 Typical High $229.09 | Facility | None | $199.53 | $199.53 | $229.09 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $234.42 | Professional | None | $199.53 | $199.53 | $234.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $295.12 Median $478.63 Typical High $741.31 | Facility | None | $295.12 | $478.63 | $741.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $181.97 Median $186.21 Typical High $229.09 | Professional | None | $181.97 | $186.21 | $229.09 |
Select Health Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $426.58 | Facility | None | $120.23 | $120.23 | $426.58 |
Select Health Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $190.55 | Professional | None | $104.71 | $120.23 | $190.55 |
United Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $147.91 | Professional | None | $93.33 | $93.33 | $147.91 |
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 $112.20 Median $112.20 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $112.20 | $112.20 | $181.97 |
Where Idaho sits
The same service costs 2.4 times more in Alaska than in Ohio. 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· 4th of 51
$178
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.