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 $89.13 Median $154.88 Typical High $169.82 | Professional | None | $89.13 | $154.88 | $169.82 |
BCBS Idaho Setting Facility Modifier None Typical Low $47.86 Median $107.15 Typical High $186.21 | Facility | None | $47.86 | $107.15 | $186.21 |
BCBS Idaho Setting Professional Modifier None Typical Low $177.83 Median $199.53 Typical High $239.88 | Professional | None | $177.83 | $199.53 | $239.88 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $147.91 Typical High $173.78 | Professional | 78 · Unplanned return to OR | $125.89 | $147.91 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $181.97 | Professional | None | $128.82 | $158.49 | $181.97 |
Moda Health Setting Facility Modifier None Typical Low $44.67 Median $154.88 Typical High $218.78 | Facility | None | $44.67 | $154.88 | $218.78 |
Moda Health Setting Professional Modifier None Typical Low $154.88 Median $190.55 Typical High $204.17 | Professional | None | $154.88 | $190.55 | $204.17 |
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 $177.83 Median $204.17 Typical High $204.17 | Facility | None | $177.83 | $204.17 | $204.17 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $181.97 Median $204.17 Typical High $204.17 | Professional | None | $181.97 | $204.17 | $204.17 |
Regence BlueShield Setting Facility Modifier None Typical Low $107.15 Median $154.88 Typical High $199.53 | Facility | None | $107.15 | $154.88 | $199.53 |
Regence BlueShield Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $204.17 | Professional | None | $177.83 | $177.83 | $204.17 |
Select Health Setting Facility Modifier None Typical Low $95.50 Median $104.71 Typical High $114.82 | Facility | None | $95.50 | $104.71 | $114.82 |
Select Health Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $144.54 | Professional | None | $104.71 | $104.71 | $144.54 |
United Setting Professional Modifier None Typical Low $75.86 Median $117.49 Typical High $194.98 | Professional | None | $75.86 | $117.49 | $194.98 |
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 $77.62 Median $77.62 Typical High $79.43 | Professional | 52 · Reduced service | $77.62 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $31.62 | Professional | 53 · Discontinued | $30.90 | $30.90 | $31.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $77.62 | $77.62 | $77.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Where Idaho sits
The same service costs 4.2 times more in Alaska than in Alabama. 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· 10th of 51
$178
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.