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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $676.08 Typical High $831.76 | Professional | None | $436.52 | $676.08 | $831.76 |
BCBS Idaho Setting Facility Modifier None Typical Low $724.44 Median $1,258.93 Typical High $2,570.40 | Facility | None | $724.44 | $1,258.93 | $2,570.40 |
BCBS Idaho Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $741.31 | Professional | None | $616.60 | $724.44 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,513.56 Typical High $2,818.38 | Facility | None | $562.34 | $1,513.56 | $2,818.38 |
Moda Health Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,412.54 | Facility | None | $724.44 | $724.44 | $1,412.54 |
Moda Health Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $870.96 | Professional | None | $691.83 | $724.44 | $870.96 |
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 $724.44 Median $724.44 Typical High $1,071.52 | Facility | None | $724.44 | $724.44 | $1,071.52 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $724.44 Median $758.58 Typical High $1,071.52 | Professional | None | $724.44 | $758.58 | $1,071.52 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,071.52 Median $1,621.81 Typical High $2,570.40 | Facility | None | $1,071.52 | $1,621.81 | $2,570.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $758.58 | Professional | None | $616.60 | $616.60 | $758.58 |
Select Health Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $933.25 | Facility | None | $724.44 | $724.44 | $933.25 |
Select Health Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $1,023.29 | Professional | None | $724.44 | $724.44 | $1,023.29 |
United Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $1,148.15 | Professional | None | $302.00 | $302.00 | $1,148.15 |
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 |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $512.86 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $501.19 | $512.86 | $512.86 |
Where Idaho sits
The same service costs 10.2 times more in Texas than in New Mexico. 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· 19th of 51
$724
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.