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 Professional Modifier None Typical Low $25.70 Median $30.90 Typical High $33.11 | Professional | None | $25.70 | $30.90 | $33.11 |
BCBS Idaho Setting Facility Modifier None Typical Low $41.69 Median $74.13 Typical High $131.83 | Facility | None | $41.69 | $74.13 | $131.83 |
BCBS Idaho Setting Professional Modifier None Typical Low $37.15 Median $41.69 Typical High $48.98 | Professional | None | $37.15 | $41.69 | $48.98 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $26.30 Median $30.20 Typical High $35.48 | Professional | 78 · Unplanned return to OR | $26.30 | $30.20 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $30.90 Typical High $35.48 | Professional | None | $24.55 | $30.90 | $35.48 |
Moda Health Setting Facility Modifier None Typical Low $19.95 Median $30.90 Typical High $44.67 | Facility | None | $19.95 | $30.90 | $44.67 |
Moda Health Setting Professional Modifier None Typical Low $30.90 Median $38.90 Typical High $42.66 | Professional | None | $30.90 | $38.90 | $42.66 |
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 $37.15 Median $41.69 Typical High $41.69 | Facility | None | $37.15 | $41.69 | $41.69 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $38.02 Median $41.69 Typical High $42.66 | Professional | None | $38.02 | $41.69 | $42.66 |
Regence BlueShield Setting Facility Modifier None Typical Low $66.07 Median $93.33 Typical High $131.83 | Facility | None | $66.07 | $93.33 | $131.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $36.31 Median $37.15 Typical High $42.66 | Professional | None | $36.31 | $37.15 | $42.66 |
Select Health Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $151.36 | Facility | None | $21.88 | $21.88 | $151.36 |
Select Health Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $30.90 | Professional | None | $21.88 | $21.88 | $30.90 |
United Setting Professional Modifier None Typical Low $21.88 Median $28.18 Typical High $39.81 | Professional | None | $21.88 | $28.18 | $39.81 |
4 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $6.17 | $6.17 | $6.17 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $15.49 | $15.49 | $15.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $6.17 | $6.17 | $6.17 |
Where Idaho sits
The same service costs 2.8 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· 12th of 51
$38.02
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.