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 Professional Modifier None Typical Low $131.83 Median $154.88 Typical High $181.97 | Professional | None | $131.83 | $154.88 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $75.86 Typical High $83.18 | Professional | 52 · Reduced service | $67.61 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $30.20 Typical High $33.88 | Professional | 53 · Discontinued | $26.92 | $30.20 | $33.88 |
BCBS Idaho Setting Facility Modifier None Typical Low $512.86 Median $630.96 Typical High $1,023.29 | Facility | None | $512.86 | $630.96 | $1,023.29 |
BCBS Idaho Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $177.83 | Professional | None | $131.83 | $162.18 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $120.23 Typical High $165.96 | Professional | None | $87.10 | $120.23 | $165.96 |
Moda Health Setting Facility Modifier None Typical Low $151.36 Median $154.88 Typical High $218.78 | Facility | None | $151.36 | $154.88 | $218.78 |
Moda Health Setting Professional Modifier None Typical Low $138.04 Median $154.88 Typical High $181.97 | Professional | None | $138.04 | $154.88 | $181.97 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $75.86 Typical High $83.18 | Professional | 52 · Reduced service | $75.86 | $75.86 | $83.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $33.88 | Professional | 53 · Discontinued | $30.20 | $30.20 | $33.88 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $120.23 | Professional | None | $33.11 | $33.11 | $120.23 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $229.09 | Facility | None | $186.21 | $186.21 | $229.09 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $186.21 Median $190.55 Typical High $234.42 | Professional | None | $186.21 | $190.55 | $234.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $512.86 Median $741.31 Typical High $1,023.29 | Facility | None | $512.86 | $741.31 | $1,023.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $223.87 | Professional | None | $162.18 | $177.83 | $223.87 |
Select Health Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $123.03 | Facility | None | $120.23 | $120.23 | $123.03 |
Select Health Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $173.78 | Professional | None | $95.50 | $120.23 | $173.78 |
United Setting Professional Modifier None Typical Low $114.82 Median $117.49 Typical High $186.21 | Professional | None | $114.82 | $117.49 | $186.21 |
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 $109.65 Median $109.65 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $109.65 | $109.65 | $154.88 |
Where Idaho sits
The same service costs 2.3 times more in Alaska 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· 3rd of 51
$162
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.