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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $1,096.48 Typical High $1,096.48 | Professional | None | $524.81 | $1,096.48 | $1,096.48 |
BCBS Idaho Setting Facility Modifier None Typical Low $562.34 Median $977.24 Typical High $1,949.84 | Facility | None | $562.34 | $977.24 | $1,949.84 |
BCBS Idaho Setting Professional Modifier None Typical Low $467.74 Median $562.34 Typical High $562.34 | Professional | None | $467.74 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,148.15 Typical High $2,187.76 | Facility | None | $436.52 | $1,148.15 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $912.01 | Professional | None | $416.87 | $416.87 | $912.01 |
Moda Health Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $1,096.48 | Facility | None | $562.34 | $562.34 | $1,096.48 |
Moda Health Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $1,096.48 | Professional | None | $562.34 | $660.69 | $1,096.48 |
Molina Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $478.63 | Professional | None | $407.38 | $407.38 | $478.63 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $562.34 Median $831.76 Typical High $1,047.13 | Facility | None | $562.34 | $831.76 | $1,047.13 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $562.34 Median $831.76 Typical High $1,047.13 | Professional | None | $562.34 | $831.76 | $1,047.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $831.76 Median $1,258.93 Typical High $1,995.26 | Facility | None | $831.76 | $1,258.93 | $1,995.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $588.84 | Professional | None | $467.74 | $467.74 | $588.84 |
Select Health Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $724.44 | Facility | None | $562.34 | $562.34 | $724.44 |
Select Health Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $794.33 | Professional | None | $562.34 | $562.34 | $794.33 |
United Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $891.25 | Professional | None | $234.42 | $234.42 | $891.25 |
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 $389.05 Median $398.11 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $389.05 | $398.11 | $398.11 |
Where Idaho sits
The same service costs 4.6 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· 13th of 51
$617
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.