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 $79.43 Median $151.36 Typical High $158.49 | Facility | None | $79.43 | $151.36 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $128.82 Typical High $151.36 | Professional | None | $53.70 | $128.82 | $151.36 |
BCBS Idaho Setting Facility Modifier None Typical Low $66.07 Median $112.20 Typical High $229.09 | Facility | None | $66.07 | $112.20 | $229.09 |
BCBS Idaho Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $67.61 | Professional | None | $56.23 | $66.07 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $138.04 Typical High $257.04 | Facility | None | $51.29 | $138.04 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $109.65 | Professional | None | $48.98 | $48.98 | $109.65 |
Moda Health Setting Facility Modifier None Typical Low $66.07 Median $131.83 Typical High $151.36 | Facility | None | $66.07 | $131.83 | $151.36 |
Moda Health Setting Professional Modifier None Typical Low $66.07 Median $79.43 Typical High $128.82 | Professional | None | $66.07 | $79.43 | $128.82 |
Molina Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $56.23 | Professional | None | $47.86 | $47.86 | $56.23 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $66.07 Median $97.72 Typical High $125.89 | Facility | None | $66.07 | $97.72 | $125.89 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $66.07 Median $97.72 Typical High $125.89 | Professional | None | $66.07 | $97.72 | $125.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $97.72 Median $147.91 Typical High $234.42 | Facility | None | $97.72 | $147.91 | $234.42 |
Regence BlueShield Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $69.18 | Professional | None | $56.23 | $56.23 | $69.18 |
Select Health Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $117.49 | Facility | None | $66.07 | $66.07 | $117.49 |
Select Health Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $93.33 | Professional | None | $66.07 | $66.07 | $93.33 |
United Setting Professional Modifier None Typical Low $27.54 Median $28.18 Typical High $107.15 | Professional | None | $27.54 | $28.18 | $107.15 |
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 $45.71 Median $46.77 Typical High $46.77 | Professional | 78 · Unplanned return to OR | $45.71 | $46.77 | $46.77 |
Where Idaho sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 7th of 51
$93.33
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.