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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $707.95 Typical High $707.95 | Professional | None | $338.84 | $707.95 | $707.95 |
BCBS Idaho Setting Facility Modifier None Typical Low $363.08 Median $676.08 Typical High $1,288.25 | Facility | None | $363.08 | $676.08 | $1,288.25 |
BCBS Idaho Setting Professional Modifier None Typical Low $309.03 Median $363.08 Typical High $371.54 | Professional | None | $309.03 | $363.08 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Moda Health Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $707.95 | Facility | None | $363.08 | $363.08 | $707.95 |
Moda Health Setting Professional Modifier None Typical Low $363.08 Median $436.52 Typical High $707.95 | Professional | None | $363.08 | $436.52 | $707.95 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $537.03 | Facility | None | $363.08 | $363.08 | $537.03 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $363.08 Median $380.19 Typical High $537.03 | Professional | None | $363.08 | $380.19 | $537.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $537.03 Median $851.14 Typical High $1,288.25 | Facility | None | $537.03 | $851.14 | $1,288.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $380.19 | Professional | None | $309.03 | $309.03 | $380.19 |
Select Health Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $467.74 | Facility | None | $363.08 | $363.08 | $467.74 |
Select Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $512.86 | Professional | None | $363.08 | $363.08 | $512.86 |
United Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $575.44 | Professional | None | $151.36 | $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 $251.19 Median $257.04 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $251.19 | $257.04 | $257.04 |
Where Idaho sits
The same service costs 12.0 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· 9th of 51
$372
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.