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 $50.12 Median $64.57 Typical High $87.10 | Professional | None | $50.12 | $64.57 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $31.62 Typical High $43.65 | Professional | 52 · Reduced service | $25.12 | $31.62 | $43.65 |
BCBS Idaho Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $107.15 | Professional | None | $74.13 | $87.10 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $47.86 Typical High $67.61 | Professional | None | $32.36 | $47.86 | $67.61 |
Moda Health Setting Facility Modifier None Typical Low $28.18 Median $64.57 Typical High $91.20 | Facility | None | $28.18 | $64.57 | $91.20 |
Moda Health Setting Professional Modifier None Typical Low $50.12 Median $87.10 Typical High $123.03 | Professional | None | $50.12 | $87.10 | $123.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $31.62 Typical High $43.65 | Professional | 52 · Reduced service | $25.12 | $31.62 | $43.65 |
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 $79.43 Median $79.43 Typical High $138.04 | Facility | None | $79.43 | $79.43 | $138.04 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $79.43 Median $81.28 Typical High $141.25 | Professional | None | $79.43 | $81.28 | $141.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $123.03 | Professional | None | $74.13 | $89.13 | $123.03 |
Select Health Setting Facility Modifier None Typical Low $67.61 Median $74.13 Typical High $75.86 | Facility | None | $67.61 | $74.13 | $75.86 |
Select Health Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $89.13 | Professional | None | $38.02 | $44.67 | $89.13 |
United Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $77.62 | Professional | None | $34.67 | $54.95 | $77.62 |
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 $60.26 Median $60.26 Typical High $60.26 | Professional | 78 · Unplanned return to OR | $60.26 | $60.26 | $60.26 |
Where Idaho sits
The same service costs 4.1 times more in Minnesota 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
$87.10
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.