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 $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
BCBS Idaho Setting Facility Modifier None Typical Low $51.29 Median $97.72 Typical High $169.82 | Facility | None | $51.29 | $97.72 | $169.82 |
BCBS Idaho Setting Professional Modifier None Typical Low $35.48 Median $44.67 Typical High $52.48 | Professional | None | $35.48 | $44.67 | $52.48 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $29.51 Median $34.67 Typical High $36.31 | Professional | 78 · Unplanned return to OR | $29.51 | $34.67 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Moda Health Setting Facility Modifier None Typical Low $23.44 Median $40.74 Typical High $57.54 | Facility | None | $23.44 | $40.74 | $57.54 |
Moda Health Setting Professional Modifier None Typical Low $39.81 Median $40.74 Typical High $41.69 | Professional | None | $39.81 | $40.74 | $41.69 |
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 $25.12 Median $28.18 Typical High $40.74 | Facility | None | $25.12 | $28.18 | $40.74 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $25.12 Median $29.51 Typical High $47.86 | Professional | None | $25.12 | $29.51 | $47.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $47.86 | Professional | None | $35.48 | $35.48 | $47.86 |
Select Health Setting Facility Modifier None Typical Low $22.39 Median $22.91 Typical High $165.96 | Facility | None | $22.39 | $22.91 | $165.96 |
United Setting Professional Modifier None Typical Low $15.85 Median $17.38 Typical High $37.15 | Professional | None | $15.85 | $17.38 | $37.15 |
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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | 53 · Discontinued | $8.91 | $8.91 | $8.91 |
Where Idaho sits
The same service costs 5.2 times more in Texas than in New Jersey. 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· 7th of 51
$40.74
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.