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 $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $56.23 | Professional | None | $41.69 | $44.67 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $22.39 Typical High $25.70 | Professional | 52 · Reduced service | $22.39 | $22.39 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $10.47 | Professional | 53 · Discontinued | $8.91 | $8.91 | $10.47 |
BCBS Idaho Setting Facility Modifier None Typical Low $218.78 Median $758.58 Typical High $1,318.26 | Facility | None | $218.78 | $758.58 | $1,318.26 |
BCBS Idaho Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $51.29 | Professional | None | $41.69 | $48.98 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $38.90 Typical High $38.90 | Professional | None | $23.99 | $38.90 | $38.90 |
Moda Health Setting Facility Modifier None Typical Low $44.67 Median $56.23 Typical High $56.23 | Facility | None | $44.67 | $56.23 | $56.23 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $47.86 Typical High $56.23 | Professional | None | $41.69 | $47.86 | $56.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $22.39 Typical High $25.70 | Professional | 52 · Reduced service | $22.39 | $22.39 | $25.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $10.47 | Professional | 53 · Discontinued | $8.91 | $8.91 | $10.47 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $34.67 | Professional | None | $33.11 | $33.11 | $34.67 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $58.88 Median $66.07 Typical High $66.07 | Facility | None | $58.88 | $66.07 | $66.07 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $66.07 Median $67.61 Typical High $67.61 | Professional | None | $66.07 | $67.61 | $67.61 |
Regence BlueShield Setting Facility Modifier None Typical Low $524.81 Median $891.25 Typical High $1,318.26 | Facility | None | $524.81 | $891.25 | $1,318.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $58.88 | Professional | None | $51.29 | $51.29 | $58.88 |
Select Health Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $35.48 | Facility | None | $34.67 | $34.67 | $35.48 |
Select Health Setting Professional Modifier None Typical Low $28.84 Median $34.67 Typical High $52.48 | Professional | None | $28.84 | $34.67 | $52.48 |
United Setting Professional Modifier None Typical Low $30.90 Median $32.36 Typical High $58.88 | Professional | None | $30.90 | $32.36 | $58.88 |
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 $29.51 Median $29.51 Typical High $52.48 | Professional | 78 · Unplanned return to OR | $29.51 | $29.51 | $52.48 |
Where Idaho sits
The same service costs 2.1 times more in North Dakota 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· 5th of 51
$47.86
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.