How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $3,311.31 Median $4,265.80 Typical High $4,265.80 | Facility | None | $3,311.31 | $4,265.80 | $4,265.80 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $3,548.13 Typical High $3,548.13 | Professional | None | $1,698.24 | $3,548.13 | $3,548.13 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,819.70 Median $4,073.80 Typical High $6,456.54 | Facility | None | $1,819.70 | $4,073.80 | $6,456.54 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,548.82 Median $1,819.70 Typical High $1,862.09 | Professional | None | $1,548.82 | $1,819.70 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $3,801.89 Typical High $7,079.46 | Facility | None | $1,412.54 | $3,801.89 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $3,388.44 | Professional | None | $1,047.13 | $1,348.96 | $3,388.44 |
Moda Health Setting Facility Modifier None Typical Low $1,819.70 Median $2,884.03 Typical High $4,265.80 | Facility | None | $1,819.70 | $2,884.03 | $4,265.80 |
Moda Health Setting Professional Modifier None Typical Low $1,819.70 Median $2,187.76 Typical High $3,548.13 | Professional | None | $1,819.70 | $2,187.76 | $3,548.13 |
Molina Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,584.89 | Professional | None | $1,348.96 | $1,348.96 | $1,584.89 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,819.70 Median $2,754.23 Typical High $3,467.37 | Facility | None | $1,819.70 | $2,754.23 | $3,467.37 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,819.70 Median $2,754.23 Typical High $3,467.37 | Professional | None | $1,819.70 | $2,754.23 | $3,467.37 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,754.23 Median $4,365.16 Typical High $6,606.93 | Facility | None | $2,754.23 | $4,365.16 | $6,606.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,905.46 | Professional | None | $1,548.82 | $1,548.82 | $1,905.46 |
Select Health Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,398.83 | Facility | None | $1,819.70 | $1,819.70 | $2,398.83 |
Select Health Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,570.40 | Professional | None | $1,819.70 | $1,819.70 | $2,570.40 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,047.13 Typical High $3,981.07 | Professional | None | $758.58 | $1,047.13 | $3,981.07 |
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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,288.25 | $1,288.25 |
Where Idaho sits
The same service costs 4.3 times more in Alaska than in Alabama. 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· 14th of 51
$2,291
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.