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 $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $630.96 Typical High $630.96 | Professional | None | $302.00 | $630.96 | $630.96 |
BCBS Idaho Setting Facility Modifier None Typical Low $323.59 Median $562.34 Typical High $1,174.90 | Facility | None | $323.59 | $562.34 | $1,174.90 |
BCBS Idaho Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $331.13 | Professional | None | $275.42 | $323.59 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $676.08 Typical High $1,258.93 | Facility | None | $251.19 | $676.08 | $1,258.93 |
Moda Health Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $630.96 | Facility | None | $323.59 | $323.59 | $630.96 |
Moda Health Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $630.96 | Professional | None | $323.59 | $389.05 | $630.96 |
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 $323.59 Median $323.59 Typical High $489.78 | Facility | None | $323.59 | $323.59 | $489.78 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $323.59 Median $338.84 Typical High $489.78 | Professional | None | $323.59 | $338.84 | $489.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $489.78 Median $724.44 Typical High $1,174.90 | Facility | None | $489.78 | $724.44 | $1,174.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $338.84 | Professional | None | $275.42 | $275.42 | $338.84 |
Select Health Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $416.87 | Facility | None | $323.59 | $323.59 | $416.87 |
Select Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $457.09 | Professional | None | $323.59 | $323.59 | $457.09 |
United Setting Professional Modifier None Typical Low $134.90 Median $151.36 Typical High $575.44 | Professional | None | $134.90 | $151.36 | $575.44 |
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 $223.87 Median $229.09 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $223.87 | $229.09 | $229.09 |
Where Idaho sits
The same service costs 9.1 times more in Texas 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· 18th of 51
$331
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.