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 $2.19 Median $2.40 Typical High $2.45 | Facility | None | $2.19 | $2.40 | $2.45 |
Aetna Setting Professional Modifier None Typical Low $2.19 Median $2.45 Typical High $2.88 | Professional | None | $2.19 | $2.45 | $2.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.20 Median $1.20 Typical High $1.38 | Professional | 52 · Reduced service | $1.20 | $1.20 | $1.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.48 Median $0.48 Typical High $0.55 | Professional | 53 · Discontinued | $0.48 | $0.48 | $0.55 |
BCBS Idaho Setting Facility Modifier None Typical Low $39.81 Median $60.26 Typical High $97.72 | Facility | None | $39.81 | $60.26 | $97.72 |
BCBS Idaho Setting Professional Modifier None Typical Low $2.63 Median $2.82 Typical High $3.47 | Professional | None | $2.63 | $2.82 | $3.47 |
Cigna Setting Professional Modifier None Typical Low $1.70 Median $5.01 Typical High $5.01 | Professional | None | $1.70 | $5.01 | $5.01 |
Moda Health Setting Facility Modifier None Typical Low $2.40 Median $2.88 Typical High $2.95 | Facility | None | $2.40 | $2.88 | $2.95 |
Moda Health Setting Professional Modifier None Typical Low $2.19 Median $2.45 Typical High $2.88 | Professional | None | $2.19 | $2.45 | $2.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.20 Median $1.20 Typical High $1.38 | Professional | 52 · Reduced service | $1.20 | $1.20 | $1.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.48 Median $0.48 Typical High $0.55 | Professional | 53 · Discontinued | $0.48 | $0.48 | $0.55 |
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 $3.39 Median $3.80 Typical High $3.80 | Facility | None | $3.39 | $3.80 | $3.80 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3.80 Median $3.89 Typical High $3.89 | Professional | None | $3.80 | $3.89 | $3.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $47.86 Median $69.18 Typical High $97.72 | Facility | None | $47.86 | $69.18 | $97.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.80 | Professional | None | $3.47 | $3.47 | $3.80 |
Select Health Setting Facility Modifier None Typical Low $2.00 Median $2.00 Typical High $2.19 | Facility | None | $2.00 | $2.00 | $2.19 |
Select Health Setting Professional Modifier None Typical Low $1.82 Median $2.14 Typical High $3.24 | Professional | None | $1.82 | $2.14 | $3.24 |
United Setting Professional Modifier None Typical Low $1.70 Median $2.24 Typical High $3.55 | Professional | None | $1.70 | $2.24 | $3.55 |
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 $1.86 Median $1.86 Typical High $3.02 | Professional | 78 · Unplanned return to OR | $1.86 | $1.86 | $3.02 |
Where Idaho sits
The same service costs 2.2 times more in North Dakota 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· 12th of 51
$2.69
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.