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 $77.62 Median $77.62 Typical High $83.18 | Facility | None | $77.62 | $77.62 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $93.33 | Professional | None | $67.61 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $38.90 Typical High $41.69 | Professional | 52 · Reduced service | $33.88 | $38.90 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $15.49 Typical High $16.60 | Professional | 53 · Discontinued | $13.80 | $15.49 | $16.60 |
BCBS Idaho Setting Professional Modifier None Typical Low $58.88 Median $77.62 Typical High $89.13 | Professional | None | $58.88 | $77.62 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $83.18 Typical High $100.00 | Professional | None | $54.95 | $83.18 | $100.00 |
Moda Health Setting Facility Modifier None Typical Low $77.62 Median $83.18 Typical High $134.90 | Facility | None | $77.62 | $83.18 | $134.90 |
Moda Health Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $93.33 | Professional | None | $70.79 | $79.43 | $93.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $38.90 Typical High $41.69 | Professional | 52 · Reduced service | $37.15 | $38.90 | $41.69 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.49 Typical High $16.60 | Professional | 53 · Discontinued | $14.79 | $15.49 | $16.60 |
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 $85.11 Median $85.11 Typical High $104.71 | Facility | None | $85.11 | $85.11 | $104.71 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $104.71 | Professional | None | $85.11 | $85.11 | $104.71 |
Regence BlueShield Setting Professional Modifier None Typical Low $83.18 Median $89.13 Typical High $109.65 | Professional | None | $83.18 | $89.13 | $109.65 |
Select Health Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $54.95 | Facility | None | $53.70 | $53.70 | $54.95 |
Select Health Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $79.43 | Professional | None | $43.65 | $53.70 | $79.43 |
United Setting Professional Modifier None Typical Low $58.88 Median $75.86 Typical High $112.20 | Professional | None | $58.88 | $75.86 | $112.20 |
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 $53.70 Median $53.70 Typical High $70.79 | Professional | 78 · Unplanned return to OR | $53.70 | $53.70 | $70.79 |
Where Idaho sits
The same service costs 2.6 times more in Alaska than in Arizona. 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· 5th of 51
$79.43
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.