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 $39.81 Median $50.12 Typical High $53.70 | Professional | None | $39.81 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $25.12 Typical High $26.92 | Professional | 52 · Reduced service | $19.95 | $25.12 | $26.92 |
BCBS Idaho Setting Facility Modifier None Typical Low $75.86 Median $81.28 Typical High $81.28 | Facility | None | $75.86 | $81.28 | $81.28 |
BCBS Idaho Setting Professional Modifier None Typical Low $60.26 Median $87.10 Typical High $107.15 | Professional | None | $60.26 | $87.10 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Moda Health Setting Facility Modifier None Typical Low $35.48 Median $50.12 Typical High $57.54 | Facility | None | $35.48 | $50.12 | $57.54 |
Moda Health Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $53.70 | Professional | None | $39.81 | $50.12 | $53.70 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $25.12 Typical High $26.92 | Professional | 52 · Reduced service | $19.95 | $25.12 | $26.92 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $77.62 | Professional | None | $30.20 | $30.20 | $77.62 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $40.74 Median $66.07 Typical High $107.15 | Facility | None | $40.74 | $66.07 | $107.15 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $45.71 Median $77.62 Typical High $131.83 | Professional | None | $45.71 | $77.62 | $131.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $53.70 Median $72.44 Typical High $97.72 | Professional | None | $53.70 | $72.44 | $97.72 |
Select Health Setting Facility Modifier None Typical Low $57.54 Median $63.10 Typical High $64.57 | Facility | None | $57.54 | $63.10 | $64.57 |
Select Health Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $79.43 | Professional | None | $33.88 | $39.81 | $79.43 |
United Setting Professional Modifier None Typical Low $48.98 Median $67.61 Typical High $102.33 | Professional | None | $48.98 | $67.61 | $102.33 |
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 $61.66 Median $61.66 Typical High $61.66 | Professional | 78 · Unplanned return to OR | $61.66 | $61.66 | $61.66 |
Where Idaho sits
The same service costs 2.5 times more in Alaska than in Louisiana. 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· 12th of 51
$64.57
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.