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 $263.03 Median $338.84 Typical High $338.84 | Facility | None | $263.03 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $281.84 Typical High $281.84 | Professional | None | $134.90 | $281.84 | $281.84 |
BCBS Idaho Setting Facility Modifier None Typical Low $104.71 Median $245.47 Typical High $512.86 | Facility | None | $104.71 | $245.47 | $512.86 |
BCBS Idaho Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $147.91 | Professional | None | $123.03 | $144.54 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $302.00 Typical High $562.34 | Facility | None | $112.20 | $302.00 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $269.15 | Professional | None | $107.15 | $107.15 | $269.15 |
Moda Health Setting Facility Modifier None Typical Low $144.54 Median $263.03 Typical High $338.84 | Facility | None | $144.54 | $263.03 | $338.84 |
Moda Health Setting Professional Modifier None Typical Low $144.54 Median $165.96 Typical High $281.84 | Professional | None | $144.54 | $165.96 | $281.84 |
Molina Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $125.89 | Professional | None | $107.15 | $107.15 | $125.89 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $144.54 Median $218.78 Typical High $275.42 | Facility | None | $144.54 | $218.78 | $275.42 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $144.54 Median $218.78 Typical High $275.42 | Professional | None | $144.54 | $218.78 | $275.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $218.78 Median $346.74 Typical High $524.81 | Facility | None | $218.78 | $346.74 | $524.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $151.36 | Professional | None | $123.03 | $123.03 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $251.19 | Facility | None | $144.54 | $144.54 | $251.19 |
Select Health Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $204.17 | Professional | None | $144.54 | $144.54 | $204.17 |
United Setting Professional Modifier None Typical Low $60.26 Median $83.18 Typical High $316.23 | Professional | None | $60.26 | $83.18 | $316.23 |
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 $102.33 Median $102.33 Typical High $102.33 | Professional | 78 · Unplanned return to OR | $102.33 | $102.33 | $102.33 |
Where Idaho sits
The same service costs 4.9 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· 20th of 51
$151
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.