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 $147.91 Median $281.84 Typical High $281.84 | Facility | None | $147.91 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $239.88 Typical High $239.88 | Professional | None | $114.82 | $239.88 | $239.88 |
BCBS Idaho Setting Facility Modifier None Typical Low $123.03 Median $275.42 Typical High $575.44 | Facility | None | $123.03 | $275.42 | $575.44 |
BCBS Idaho Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $123.03 | Professional | None | $102.33 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $251.19 Typical High $478.63 | Facility | None | $95.50 | $251.19 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $91.20 Typical High $223.87 | Professional | None | $70.79 | $91.20 | $223.87 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $239.88 Typical High $549.54 | Facility | None | $123.03 | $239.88 | $549.54 |
Moda Health Setting Professional Modifier None Typical Low $123.03 Median $141.25 Typical High $239.88 | Professional | None | $123.03 | $141.25 | $239.88 |
Molina Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | None | $89.13 | $89.13 | $104.71 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $123.03 Median $181.97 Typical High $229.09 | Facility | None | $123.03 | $181.97 | $229.09 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $229.09 | Professional | None | $123.03 | $181.97 | $229.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $181.97 Median $288.40 Typical High $436.52 | Facility | None | $181.97 | $288.40 | $436.52 |
Regence BlueShield Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $128.82 | Professional | None | $102.33 | $102.33 | $128.82 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $489.78 | Facility | None | $123.03 | $123.03 | $489.78 |
Select Health Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $173.78 | Professional | None | $123.03 | $123.03 | $173.78 |
United Setting Professional Modifier None Typical Low $51.29 Median $69.18 Typical High $263.03 | Professional | None | $51.29 | $69.18 | $263.03 |
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 $85.11 Median $87.10 Typical High $87.10 | Professional | 78 · Unplanned return to OR | $85.11 | $87.10 | $87.10 |
Where Idaho sits
The same service costs 4.4 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
$141
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.