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 Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $173.78 | Professional | None | $165.96 | $165.96 | $173.78 |
BCBS Idaho Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
BCBS Idaho Setting Professional Modifier None Typical Low $190.55 Median $213.80 Typical High $257.04 | Professional | None | $190.55 | $213.80 | $257.04 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $158.49 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $134.90 | $158.49 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $177.83 Typical High $199.53 | Professional | None | $158.49 | $177.83 | $199.53 |
Moda Health Setting Facility Modifier None Typical Low $112.20 Median $165.96 Typical High $239.88 | Facility | None | $112.20 | $165.96 | $239.88 |
Moda Health Setting Professional Modifier None Typical Low $165.96 Median $204.17 Typical High $223.87 | Professional | None | $165.96 | $204.17 | $223.87 |
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 $190.55 Median $213.80 Typical High $213.80 | Facility | None | $190.55 | $213.80 | $213.80 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $194.98 Median $213.80 Typical High $218.78 | Professional | None | $194.98 | $213.80 | $218.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Regence BlueShield Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $223.87 | Professional | None | $190.55 | $190.55 | $223.87 |
Select Health Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $114.82 | Facility | None | $112.20 | $112.20 | $114.82 |
Select Health Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $154.88 | Professional | None | $112.20 | $112.20 | $154.88 |
United Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $208.93 | Professional | None | $104.71 | $147.91 | $208.93 |
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 $83.18 Median $83.18 Typical High $87.10 | Professional | 52 · Reduced service | $83.18 | $83.18 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $34.67 | Professional | 53 · Discontinued | $33.88 | $33.88 | $34.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $83.18 | $83.18 | $83.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Where Idaho sits
The same service costs 21.4 times more in Alaska than in New York. 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
$195
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.