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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $91.20 Typical High $91.20 | Professional | None | $45.71 | $91.20 | $91.20 |
BCBS Idaho Setting Facility Modifier None Typical Low $46.77 Median $100.00 Typical High $269.15 | Facility | None | $46.77 | $100.00 | $269.15 |
BCBS Idaho Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $47.86 | Professional | None | $39.81 | $46.77 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $97.72 Typical High $186.21 | Facility | None | $37.15 | $97.72 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $77.62 | Professional | None | $35.48 | $35.48 | $77.62 |
Moda Health Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $91.20 | Facility | None | $46.77 | $46.77 | $91.20 |
Moda Health Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $91.20 | Professional | None | $46.77 | $56.23 | $91.20 |
Molina Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | None | $34.67 | $34.67 | $40.74 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $46.77 Median $70.79 Typical High $89.13 | Facility | None | $46.77 | $70.79 | $89.13 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $46.77 Median $70.79 Typical High $89.13 | Professional | None | $46.77 | $70.79 | $89.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $70.79 Median $107.15 Typical High $169.82 | Facility | None | $70.79 | $107.15 | $169.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $50.12 | Professional | None | $39.81 | $39.81 | $50.12 |
Select Health Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $61.66 | Facility | None | $46.77 | $46.77 | $61.66 |
Select Health Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $67.61 | Professional | None | $46.77 | $46.77 | $67.61 |
United Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $75.86 | Professional | None | $19.95 | $19.95 | $75.86 |
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 $33.11 Median $33.88 Typical High $33.88 | Professional | 78 · Unplanned return to OR | $33.11 | $33.88 | $33.88 |
Where Idaho sits
The same service costs 5.8 times more in Kansas than in Oklahoma. 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· 18th of 51
$54.95
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.