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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $204.17 Typical High $204.17 | Professional | None | $104.71 | $204.17 | $204.17 |
BCBS Idaho Setting Facility Modifier None Typical Low $213.80 Median $389.05 Typical High $616.60 | Facility | None | $213.80 | $389.05 | $616.60 |
BCBS Idaho Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $218.78 | Professional | None | $177.83 | $208.93 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $186.21 | Professional | None | $134.90 | $158.49 | $186.21 |
Moda Health Setting Facility Modifier None Typical Low $104.71 Median $204.17 Typical High $295.12 | Facility | None | $104.71 | $204.17 | $295.12 |
Moda Health Setting Professional Modifier None Typical Low $134.90 Median $204.17 Typical High $269.15 | Professional | None | $134.90 | $204.17 | $269.15 |
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 $173.78 Median $229.09 Typical High $229.09 | Facility | None | $173.78 | $229.09 | $229.09 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $269.15 | Professional | None | $190.55 | $229.09 | $269.15 |
Regence BlueShield Setting Professional Modifier None Typical Low $199.53 Median $218.78 Typical High $245.47 | Professional | None | $199.53 | $218.78 | $245.47 |
Select Health Setting Facility Modifier None Typical Low $102.33 Median $104.71 Typical High $489.78 | Facility | None | $102.33 | $104.71 | $489.78 |
Select Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | None | $102.33 | $102.33 | $141.25 |
United Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $229.09 | Professional | None | $117.49 | $138.04 | $229.09 |
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 $125.89 Median $141.25 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $125.89 | $141.25 | $177.83 |
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· 7th of 51
$204
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.