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 Facility Modifier None Typical Low $147.91 Median $181.97 Typical High $245.47 | Facility | None | $147.91 | $181.97 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $173.78 Typical High $204.17 | Professional | None | $134.90 | $173.78 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $74.13 Typical High $91.20 | Professional | 52 · Reduced service | $69.18 | $74.13 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $29.51 Typical High $36.31 | Professional | 53 · Discontinued | $28.18 | $29.51 | $36.31 |
BCBS Idaho Setting Facility Modifier None Typical Low $346.74 Median $1,023.29 Typical High $1,737.80 | Facility | None | $346.74 | $1,023.29 | $1,737.80 |
BCBS Idaho Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $190.55 | Professional | None | $128.82 | $158.49 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $173.78 | Professional | None | $95.50 | $134.90 | $173.78 |
Moda Health Setting Facility Modifier None Typical Low $147.91 Median $204.17 Typical High $302.00 | Facility | None | $147.91 | $204.17 | $302.00 |
Moda Health Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $204.17 | Professional | None | $147.91 | $173.78 | $204.17 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $91.20 | Professional | 52 · Reduced service | $74.13 | $74.13 | $91.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $36.31 | Professional | 53 · Discontinued | $29.51 | $29.51 | $36.31 |
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 $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 $186.21 Typical High $229.09 | Professional | None | $186.21 | $186.21 | $229.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $512.86 Median $1,202.26 Typical High $1,737.80 | Facility | None | $512.86 | $1,202.26 | $1,737.80 |
Regence BlueShield Setting Professional Modifier None Typical Low $154.88 Median $190.55 Typical High $239.88 | Professional | None | $154.88 | $190.55 | $239.88 |
Select Health Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $407.38 | Facility | None | $117.49 | $117.49 | $407.38 |
Select Health Setting Professional Modifier None Typical Low $93.33 Median $117.49 Typical High $169.82 | Professional | None | $93.33 | $117.49 | $169.82 |
United Setting Professional Modifier None Typical Low $114.82 Median $125.89 Typical High $204.17 | Professional | None | $114.82 | $125.89 | $204.17 |
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 $114.82 Median $114.82 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $114.82 | $114.82 | $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· 5th of 51
$166
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.