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 $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
BCBS Idaho Setting Professional Modifier None Typical Low $114.82 Median $131.83 Typical High $158.49 | Professional | None | $114.82 | $131.83 | $158.49 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $83.18 Median $97.72 Typical High $114.82 | Professional | 78 · Unplanned return to OR | $83.18 | $97.72 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $95.50 Typical High $109.65 | Professional | None | $77.62 | $95.50 | $109.65 |
Moda Health Setting Facility Modifier None Typical Low $70.79 Median $102.33 Typical High $144.54 | Facility | None | $70.79 | $102.33 | $144.54 |
Moda Health Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $134.90 | Professional | None | $102.33 | $125.89 | $134.90 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $120.23 Median $134.90 Typical High $134.90 | Facility | None | $120.23 | $134.90 | $134.90 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $117.49 Median $134.90 Typical High $138.04 | Professional | None | $117.49 | $134.90 | $138.04 |
Regence BlueShield Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | None | $114.82 | $114.82 | $134.90 |
Select Health Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Select Health Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $95.50 | Professional | None | $70.79 | $70.79 | $95.50 |
United Setting Professional Modifier None Typical Low $36.31 Median $56.23 Typical High $104.71 | Professional | None | $36.31 | $56.23 | $104.71 |
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 $51.29 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $20.42 | $20.42 | $20.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $51.29 | $51.29 | $51.29 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $20.42 | $20.42 | $20.42 |
Where Idaho sits
The same service costs 6.6 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· 7th of 51
$115
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.