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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $309.03 Typical High $316.23 | Professional | None | $158.49 | $309.03 | $316.23 |
BCBS Idaho Setting Facility Modifier None Typical Low $316.23 Median $575.44 Typical High $912.01 | Facility | None | $316.23 | $575.44 | $912.01 |
BCBS Idaho Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $346.74 | Professional | None | $281.84 | $331.13 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $295.12 | Professional | None | $208.93 | $245.47 | $295.12 |
Moda Health Setting Facility Modifier None Typical Low $165.96 Median $316.23 Typical High $457.09 | Facility | None | $165.96 | $316.23 | $457.09 |
Moda Health Setting Professional Modifier None Typical Low $165.96 Median $316.23 Typical High $416.87 | Professional | None | $165.96 | $316.23 | $416.87 |
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 $269.15 Median $354.81 Typical High $354.81 | Facility | None | $269.15 | $354.81 | $354.81 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $416.87 | Professional | None | $295.12 | $354.81 | $416.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $309.03 Median $346.74 Typical High $380.19 | Professional | None | $309.03 | $346.74 | $380.19 |
Select Health Setting Facility Modifier None Typical Low $158.49 Median $162.18 Typical High $707.95 | Facility | None | $158.49 | $162.18 | $707.95 |
Select Health Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $218.78 | Professional | None | $158.49 | $158.49 | $218.78 |
United Setting Professional Modifier None Typical Low $181.97 Median $208.93 Typical High $338.84 | Professional | None | $181.97 | $208.93 | $338.84 |
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 $194.98 Median $218.78 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $194.98 | $218.78 | $275.42 |
Where Idaho sits
The same service costs 4.5 times more in Alaska than in Florida. 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
$316
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.