How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $112.20 | Professional | None | $95.50 | $95.50 | $112.20 |
BCBS Idaho Setting Facility Modifier None Typical Low $123.03 Median $158.49 Typical High $208.93 | Facility | None | $123.03 | $158.49 | $208.93 |
BCBS Idaho Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $70.79 | Professional | None | $67.61 | $67.61 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $128.82 | Professional | None | $83.18 | $83.18 | $128.82 |
Moda Health Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $138.04 | Facility | None | $95.50 | $95.50 | $138.04 |
Moda Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $112.20 | Professional | None | $95.50 | $95.50 | $112.20 |
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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $15.14 Median $16.60 Typical High $109.65 | Professional | None | $15.14 | $16.60 | $109.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $123.03 Median $158.49 Typical High $208.93 | Facility | None | $123.03 | $158.49 | $208.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Select Health Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $91.20 | Facility | None | $89.13 | $89.13 | $91.20 |
Select Health Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $89.13 | Professional | None | $47.86 | $57.54 | $89.13 |
United Setting Professional Modifier None Typical Low $97.72 Median $138.04 Typical High $194.98 | Professional | None | $97.72 | $138.04 | $194.98 |
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 $48.98 Median $54.95 Typical High $58.88 | Professional | 78 · Unplanned return to OR | $48.98 | $54.95 | $58.88 |
Where Idaho sits
The same service costs 9.1 times more in Wyoming than in Ohio. 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· 27th of 51
$83.18
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.