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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $389.05 Typical High $389.05 | Professional | None | $194.98 | $389.05 | $389.05 |
BCBS Idaho Setting Facility Modifier None Typical Low $199.53 Median $446.68 Typical High $741.31 | Facility | None | $199.53 | $446.68 | $741.31 |
BCBS Idaho Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $204.17 | Professional | None | $169.82 | $199.53 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $416.87 Typical High $776.25 | Facility | None | $154.88 | $416.87 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $331.13 | Professional | None | $147.91 | $147.91 | $331.13 |
Moda Health Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $389.05 | Facility | None | $199.53 | $199.53 | $389.05 |
Moda Health Setting Professional Modifier None Typical Low $199.53 Median $239.88 Typical High $389.05 | Professional | None | $199.53 | $239.88 | $389.05 |
Molina Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $173.78 | Professional | None | $147.91 | $147.91 | $173.78 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $199.53 Median $302.00 Typical High $380.19 | Facility | None | $199.53 | $302.00 | $380.19 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $380.19 | Professional | None | $199.53 | $302.00 | $380.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $302.00 Median $446.68 Typical High $724.44 | Facility | None | $302.00 | $446.68 | $724.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $208.93 | Professional | None | $169.82 | $169.82 | $208.93 |
Select Health Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $257.04 | Facility | None | $199.53 | $199.53 | $257.04 |
Select Health Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $281.84 | Professional | None | $199.53 | $199.53 | $281.84 |
United Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $323.59 | Professional | None | $83.18 | $83.18 | $323.59 |
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 $141.25 Median $141.25 Typical High $141.25 | Professional | 78 · Unplanned return to OR | $141.25 | $141.25 | $141.25 |
Where Idaho sits
The same service costs 3.8 times more in Texas 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· 23rd of 51
$209
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.