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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $794.33 Typical High $794.33 | Professional | None | $407.38 | $794.33 | $794.33 |
BCBS Idaho Setting Facility Modifier None Typical Low $794.33 Median $1,445.44 Typical High $1,584.89 | Facility | None | $794.33 | $1,445.44 | $1,584.89 |
BCBS Idaho Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $870.96 | Professional | None | $707.95 | $831.76 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $741.31 | Professional | None | $524.81 | $616.60 | $741.31 |
Moda Health Setting Facility Modifier None Typical Low $416.87 Median $794.33 Typical High $1,148.15 | Facility | None | $416.87 | $794.33 | $1,148.15 |
Moda Health Setting Professional Modifier None Typical Low $446.68 Median $794.33 Typical High $1,047.13 | Professional | None | $446.68 | $794.33 | $1,047.13 |
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 $691.83 Median $912.01 Typical High $912.01 | Facility | None | $691.83 | $912.01 | $912.01 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $741.31 Median $912.01 Typical High $1,071.52 | Professional | None | $741.31 | $912.01 | $1,071.52 |
Regence BlueShield Setting Professional Modifier None Typical Low $794.33 Median $870.96 Typical High $977.24 | Professional | None | $794.33 | $870.96 | $977.24 |
Select Health Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $416.87 | Facility | None | $398.11 | $398.11 | $416.87 |
Select Health Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $562.34 | Professional | None | $398.11 | $398.11 | $562.34 |
United Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $851.14 | Professional | None | $457.09 | $537.03 | $851.14 |
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 $501.19 Median $549.54 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $501.19 | $549.54 | $707.95 |
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· 8th of 51
$794
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.