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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $199.53 Typical High $199.53 | Professional | None | $100.00 | $199.53 | $199.53 |
BCBS Idaho Setting Facility Modifier None Typical Low $194.98 Median $338.84 Typical High $389.05 | Facility | None | $194.98 | $338.84 | $389.05 |
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 $128.82 Median $154.88 Typical High $181.97 | Professional | None | $128.82 | $154.88 | $181.97 |
Moda Health Setting Facility Modifier None Typical Low $104.71 Median $199.53 Typical High $288.40 | Facility | None | $104.71 | $199.53 | $288.40 |
Moda Health Setting Professional Modifier None Typical Low $114.82 Median $199.53 Typical High $263.03 | Professional | None | $114.82 | $199.53 | $263.03 |
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 $169.82 Median $223.87 Typical High $223.87 | Facility | None | $169.82 | $223.87 | $223.87 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $263.03 | Professional | None | $190.55 | $223.87 | $263.03 |
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 $100.00 Median $100.00 Typical High $102.33 | Facility | None | $100.00 | $100.00 | $102.33 |
Select Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $141.25 | Professional | None | $100.00 | $100.00 | $141.25 |
United Setting Professional Modifier None Typical Low $114.82 Median $131.83 Typical High $208.93 | Professional | None | $114.82 | $131.83 | $208.93 |
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 $123.03 Median $138.04 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $123.03 | $138.04 | $177.83 |
Where Idaho sits
The same service costs 4.4 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
$200
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.