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 $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $3,715.35 Typical High $3,715.35 | Professional | None | $1,778.28 | $3,715.35 | $3,715.35 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,905.46 Median $3,548.13 Typical High $6,918.31 | Facility | None | $1,905.46 | $3,548.13 | $6,918.31 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,621.81 Median $1,905.46 Typical High $1,949.84 | Professional | None | $1,621.81 | $1,905.46 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Facility | None | $7,413.10 | $7,413.10 | $7,413.10 |
Moda Health Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $3,715.35 | Facility | None | $1,905.46 | $1,905.46 | $3,715.35 |
Moda Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,290.87 Typical High $3,715.35 | Professional | None | $1,905.46 | $2,290.87 | $3,715.35 |
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 $1,905.46 Median $1,905.46 Typical High $2,818.38 | Facility | None | $1,905.46 | $1,905.46 | $2,818.38 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,905.46 Median $1,995.26 Typical High $2,818.38 | Professional | None | $1,905.46 | $1,995.26 | $2,818.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,818.38 Median $4,466.84 Typical High $6,918.31 | Facility | None | $2,818.38 | $4,466.84 | $6,918.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,995.26 | Professional | None | $1,621.81 | $1,621.81 | $1,995.26 |
Select Health Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,454.71 | Facility | None | $1,905.46 | $1,905.46 | $2,454.71 |
Select Health Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,691.53 | Professional | None | $1,905.46 | $1,905.46 | $2,691.53 |
United Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $3,019.95 | Professional | None | $794.33 | $794.33 | $3,019.95 |
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 $1,318.26 Median $1,348.96 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,348.96 | $1,348.96 |
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· 11th of 51
$1,950
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.