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 Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
BCBS Idaho Setting Facility Modifier None Typical Low $123.03 Median $229.09 Typical High $436.52 | Facility | None | $123.03 | $229.09 | $436.52 |
BCBS Idaho Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $123.03 | Professional | None | $104.71 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $251.19 Typical High $478.63 | Facility | None | $95.50 | $251.19 | $478.63 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $158.49 Typical High $316.23 | Facility | None | $123.03 | $158.49 | $316.23 |
Moda Health Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $151.36 | Professional | None | $123.03 | $123.03 | $151.36 |
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 $123.03 Median $123.03 Typical High $181.97 | Facility | None | $123.03 | $123.03 | $181.97 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $123.03 Median $128.82 Typical High $181.97 | Professional | None | $123.03 | $128.82 | $181.97 |
Regence BlueShield Setting Facility Modifier None Typical Low $181.97 Median $275.42 Typical High $436.52 | Facility | None | $181.97 | $275.42 | $436.52 |
Regence BlueShield Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $128.82 | Professional | None | $104.71 | $104.71 | $128.82 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $158.49 | Facility | None | $123.03 | $123.03 | $158.49 |
Select Health Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $173.78 | Professional | None | $123.03 | $123.03 | $173.78 |
United Setting Professional Modifier None Typical Low $51.29 Median $63.10 Typical High $239.88 | Professional | None | $51.29 | $63.10 | $239.88 |
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 $85.11 Median $87.10 Typical High $87.10 | Professional | 78 · Unplanned return to OR | $85.11 | $87.10 | $87.10 |
Where Idaho sits
The same service costs 9.3 times more in Kentucky than in Alabama. 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· 37th of 51
$123
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.