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 $15.49 Median $15.49 Typical High $19.05 | Professional | None | $15.49 | $15.49 | $19.05 |
BCBS Idaho Setting Facility Modifier None Typical Low $48.98 Median $87.10 Typical High $263.03 | Facility | None | $48.98 | $87.10 | $263.03 |
BCBS Idaho Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.72 | Professional | None | $10.47 | $10.47 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $19.95 Typical High $48.98 | Professional | None | $12.30 | $19.95 | $48.98 |
Moda Health Setting Facility Modifier None Typical Low $12.59 Median $15.49 Typical High $19.05 | Facility | None | $12.59 | $15.49 | $19.05 |
Moda Health Setting Professional Modifier None Typical Low $12.59 Median $15.49 Typical High $19.05 | Professional | None | $12.59 | $15.49 | $19.05 |
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 $12.59 Median $38.02 Typical High $53.70 | Facility | None | $12.59 | $38.02 | $53.70 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $50.12 | Professional | None | $12.59 | $12.59 | $50.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $51.29 Median $74.13 Typical High $93.33 | Facility | None | $51.29 | $74.13 | $93.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Select Health Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $67.61 | Facility | None | $60.26 | $60.26 | $67.61 |
Select Health Setting Professional Modifier None Typical Low $13.49 Median $13.80 Typical High $25.70 | Professional | None | $13.49 | $13.80 | $25.70 |
United Setting Professional Modifier None Typical Low $21.88 Median $27.54 Typical High $38.90 | Professional | None | $21.88 | $27.54 | $38.90 |
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 |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $7.59 Median $7.59 Typical High $9.33 | Professional | 78 · Unplanned return to OR | $7.59 | $7.59 | $9.33 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | HN · Bachelor's level | $7.08 | $7.08 | $7.08 |
United Setting Professional Modifier HO · Master's level Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | HO · Master's level | $8.32 | $8.32 | $8.32 |
United Setting Professional Modifier HP · Doctoral level Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | HP · Doctoral level | $8.32 | $8.32 | $8.32 |
Where Idaho sits
The same service costs 13.2 times more in North Carolina than in Ohio. 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· 42nd of 51
$12.59
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.