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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $323.59 Typical High $457.09 | Professional | None | $281.84 | $323.59 | $457.09 |
BCBS Idaho Setting Facility Modifier None Typical Low $467.74 Median $812.83 Typical High $1,659.59 | Facility | None | $467.74 | $812.83 | $1,659.59 |
BCBS Idaho Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $478.63 | Professional | None | $398.11 | $467.74 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $977.24 Typical High $1,819.70 | Facility | None | $363.08 | $977.24 | $1,819.70 |
Moda Health Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $912.01 | Facility | None | $467.74 | $467.74 | $912.01 |
Moda Health Setting Professional Modifier None Typical Low $457.09 Median $467.74 Typical High $562.34 | Professional | None | $457.09 | $467.74 | $562.34 |
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 $467.74 Median $467.74 Typical High $691.83 | Facility | None | $467.74 | $467.74 | $691.83 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $467.74 Median $489.78 Typical High $691.83 | Professional | None | $467.74 | $489.78 | $691.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $1,047.13 Typical High $1,659.59 | Facility | None | $691.83 | $1,047.13 | $1,659.59 |
Regence BlueShield Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $489.78 | Professional | None | $398.11 | $398.11 | $489.78 |
Select Health Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $602.56 | Facility | None | $467.74 | $467.74 | $602.56 |
Select Health Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $660.69 | Professional | None | $467.74 | $467.74 | $660.69 |
United Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $741.31 | Professional | None | $194.98 | $194.98 | $741.31 |
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 $323.59 Median $331.13 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $323.59 | $331.13 | $331.13 |
Where Idaho sits
The same service costs 37.2 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· 24th of 51
$468
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.