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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $186.21 Typical High $186.21 | Professional | None | $91.20 | $186.21 | $186.21 |
BCBS Idaho Setting Facility Modifier None Typical Low $66.07 Median $186.21 Typical High $338.84 | Facility | None | $66.07 | $186.21 | $338.84 |
BCBS Idaho Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $97.72 | Professional | None | $81.28 | $95.50 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $199.53 Typical High $371.54 | Facility | None | $74.13 | $199.53 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $158.49 | Professional | None | $70.79 | $70.79 | $158.49 |
Moda Health Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $186.21 | Facility | None | $95.50 | $95.50 | $186.21 |
Moda Health Setting Professional Modifier None Typical Low $95.50 Median $114.82 Typical High $186.21 | Professional | None | $95.50 | $114.82 | $186.21 |
Molina Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | None | $69.18 | $69.18 | $81.28 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $95.50 Median $141.25 Typical High $181.97 | Facility | None | $95.50 | $141.25 | $181.97 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $95.50 Median $141.25 Typical High $181.97 | Professional | None | $95.50 | $141.25 | $181.97 |
Regence BlueShield Setting Facility Modifier None Typical Low $141.25 Median $213.80 Typical High $338.84 | Facility | None | $141.25 | $213.80 | $338.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $100.00 | Professional | None | $81.28 | $81.28 | $100.00 |
Select Health Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $123.03 | Facility | None | $95.50 | $95.50 | $123.03 |
Select Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $134.90 | Professional | None | $95.50 | $95.50 | $134.90 |
United Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $151.36 | Professional | None | $39.81 | $39.81 | $151.36 |
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 $66.07 Median $67.61 Typical High $67.61 | Professional | 78 · Unplanned return to OR | $66.07 | $67.61 | $67.61 |
Where Idaho sits
The same service costs 3.7 times more in Alaska than in New Mexico. 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
$100
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.