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 Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $134.90 Typical High $134.90 | Professional | None | $69.18 | $134.90 | $134.90 |
BCBS Idaho Setting Facility Modifier None Typical Low $144.54 Median $257.04 Typical High $416.87 | Facility | None | $144.54 | $257.04 | $416.87 |
BCBS Idaho Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $144.54 | Professional | None | $117.49 | $138.04 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $104.71 Typical High $123.03 | Professional | None | $91.20 | $104.71 | $123.03 |
Moda Health Setting Facility Modifier None Typical Low $69.18 Median $134.90 Typical High $190.55 | Facility | None | $69.18 | $134.90 | $190.55 |
Moda Health Setting Professional Modifier None Typical Low $75.86 Median $134.90 Typical High $173.78 | Professional | None | $75.86 | $134.90 | $173.78 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $114.82 Median $147.91 Typical High $147.91 | Facility | None | $114.82 | $147.91 | $147.91 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $177.83 | Professional | None | $125.89 | $147.91 | $177.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $131.83 Median $144.54 Typical High $162.18 | Professional | None | $131.83 | $144.54 | $162.18 |
Select Health Setting Facility Modifier None Typical Low $66.07 Median $67.61 Typical High $331.13 | Facility | None | $66.07 | $67.61 | $331.13 |
Select Health Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $93.33 | Professional | None | $66.07 | $66.07 | $93.33 |
United Setting Professional Modifier None Typical Low $77.62 Median $91.20 Typical High $151.36 | Professional | None | $77.62 | $91.20 | $151.36 |
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 $81.28 Median $91.20 Typical High $117.49 | Professional | 78 · Unplanned return to OR | $81.28 | $91.20 | $117.49 |
Where Idaho sits
The same service costs 4.2 times more in Alaska than in New York. 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· 6th of 51
$135
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.