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 $57.54 Median $60.26 Typical High $60.26 | Professional | None | $57.54 | $60.26 | $60.26 |
BCBS Idaho Setting Professional Modifier None Typical Low $63.10 Median $75.86 Typical High $91.20 | Professional | None | $63.10 | $75.86 | $91.20 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $47.86 Median $56.23 Typical High $66.07 | Professional | 78 · Unplanned return to OR | $47.86 | $56.23 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $64.57 Typical High $72.44 | Professional | None | $57.54 | $64.57 | $72.44 |
Moda Health Setting Facility Modifier None Typical Low $40.74 Median $60.26 Typical High $87.10 | Facility | None | $40.74 | $60.26 | $87.10 |
Moda Health Setting Professional Modifier None Typical Low $60.26 Median $69.18 Typical High $79.43 | Professional | None | $60.26 | $69.18 | $79.43 |
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 $69.18 Median $77.62 Typical High $77.62 | Facility | None | $69.18 | $77.62 | $77.62 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $69.18 Median $77.62 Typical High $79.43 | Professional | None | $69.18 | $77.62 | $79.43 |
Regence BlueShield Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $79.43 | Professional | None | $63.10 | $63.10 | $79.43 |
Select Health Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Select Health Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $56.23 | Professional | None | $40.74 | $40.74 | $56.23 |
United Setting Professional Modifier None Typical Low $45.71 Median $58.88 Typical High $77.62 | Professional | None | $45.71 | $58.88 | $77.62 |
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 $28.84 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $28.84 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $11.48 | $12.02 | $12.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $28.84 | $30.20 | $30.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $11.48 | $12.02 | $12.02 |
Where Idaho sits
The same service costs 4.4 times more in Alaska than in Missouri. 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
$69.18
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.