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 Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $72.44 | Facility | None | $52.48 | $52.48 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $45.71 Typical High $58.88 | Professional | None | $35.48 | $45.71 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $22.91 Typical High $29.51 | Professional | 52 · Reduced service | $19.95 | $22.91 | $29.51 |
BCBS Idaho Setting Professional Modifier None Typical Low $51.29 Median $57.54 Typical High $72.44 | Professional | None | $51.29 | $57.54 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $46.77 Typical High $58.88 | Professional | None | $35.48 | $46.77 | $58.88 |
Moda Health Setting Facility Modifier None Typical Low $42.66 Median $58.88 Typical High $85.11 | Facility | None | $42.66 | $58.88 | $85.11 |
Moda Health Setting Professional Modifier None Typical Low $42.66 Median $58.88 Typical High $83.18 | Professional | None | $42.66 | $58.88 | $83.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $22.91 Typical High $29.51 | Professional | 52 · Reduced service | $20.89 | $22.91 | $29.51 |
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 $54.95 Median $54.95 Typical High $89.13 | Facility | None | $54.95 | $54.95 | $89.13 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $54.95 Median $56.23 Typical High $91.20 | Professional | None | $54.95 | $56.23 | $91.20 |
Regence BlueShield Setting Professional Modifier None Typical Low $51.29 Median $63.10 Typical High $83.18 | Professional | None | $51.29 | $63.10 | $83.18 |
Select Health Setting Facility Modifier None Typical Low $44.67 Median $47.86 Typical High $48.98 | Facility | None | $44.67 | $47.86 | $48.98 |
Select Health Setting Professional Modifier None Typical Low $26.92 Median $31.62 Typical High $61.66 | Professional | None | $26.92 | $31.62 | $61.66 |
United Setting Professional Modifier None Typical Low $30.90 Median $43.65 Typical High $63.10 | Professional | None | $30.90 | $43.65 | $63.10 |
1 more rate 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 $40.74 Median $40.74 Typical High $40.74 | Professional | 78 · Unplanned return to OR | $40.74 | $40.74 | $40.74 |
Where Idaho sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 5th of 51
$57.54
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.