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 $74.13 Median $85.11 Typical High $85.11 | Professional | None | $74.13 | $85.11 | $85.11 |
BCBS Idaho Setting Facility Modifier None Typical Low $223.87 Median $269.15 Typical High $588.84 | Facility | None | $223.87 | $269.15 | $588.84 |
BCBS Idaho Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $190.55 | Professional | None | $138.04 | $138.04 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Moda Health Setting Facility Modifier None Typical Low $74.13 Median $85.11 Typical High $123.03 | Facility | None | $74.13 | $85.11 | $123.03 |
Moda Health Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $154.88 | Professional | None | $74.13 | $85.11 | $154.88 |
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 $93.33 Median $104.71 Typical High $151.36 | Facility | None | $93.33 | $104.71 | $151.36 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $20.89 Median $104.71 Typical High $177.83 | Professional | None | $20.89 | $104.71 | $177.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $120.23 Median $138.04 Typical High $138.04 | Professional | None | $120.23 | $138.04 | $138.04 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $87.10 | Facility | None | $85.11 | $85.11 | $87.10 |
Select Health Setting Professional Modifier None Typical Low $85.11 Median $95.50 Typical High $204.17 | Professional | None | $85.11 | $95.50 | $204.17 |
United Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $177.83 | Professional | None | $102.33 | $138.04 | $177.83 |
5 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 $37.15 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $37.15 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $14.79 | $16.98 | $16.98 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $114.82 Median $128.82 Typical High $134.90 | Professional | 78 · Unplanned return to OR | $114.82 | $128.82 | $134.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $37.15 | $42.66 | $42.66 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $14.79 | $16.98 | $16.98 |
Where Idaho sits
The same service costs 2.2 times more in Nebraska than in Texas. 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· 28th of 51
$105
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.