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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $537.03 Typical High $537.03 | Professional | None | $257.04 | $537.03 | $537.03 |
BCBS Idaho Setting Facility Modifier None Typical Low $275.42 Median $537.03 Typical High $1,000.00 | Facility | None | $275.42 | $537.03 | $1,000.00 |
BCBS Idaho Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $281.84 | Professional | None | $234.42 | $275.42 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $575.44 Typical High $1,071.52 | Facility | None | $213.80 | $575.44 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $204.17 Typical High $457.09 | Professional | None | $114.82 | $204.17 | $457.09 |
Moda Health Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $537.03 | Facility | None | $275.42 | $275.42 | $537.03 |
Moda Health Setting Professional Modifier None Typical Low $275.42 Median $316.23 Typical High $537.03 | Professional | None | $275.42 | $316.23 | $537.03 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $275.42 Median $416.87 Typical High $524.81 | Facility | None | $275.42 | $416.87 | $524.81 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $275.42 Median $416.87 Typical High $524.81 | Professional | None | $275.42 | $416.87 | $524.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $416.87 Median $616.60 Typical High $1,000.00 | Facility | None | $416.87 | $616.60 | $1,000.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $288.40 | Professional | None | $234.42 | $234.42 | $288.40 |
Select Health Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $354.81 | Facility | None | $275.42 | $275.42 | $354.81 |
Select Health Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $389.05 | Professional | None | $275.42 | $275.42 | $389.05 |
United Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $436.52 | Professional | None | $114.82 | $114.82 | $436.52 |
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 $190.55 Median $194.98 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $190.55 | $194.98 | $194.98 |
Where Idaho sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 17th of 51
$288
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.