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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $70.79 Typical High $70.79 | Professional | None | $35.48 | $70.79 | $70.79 |
BCBS Idaho Setting Facility Modifier None Typical Low $36.31 Median $72.44 Typical High $131.83 | Facility | None | $36.31 | $72.44 | $131.83 |
BCBS Idaho Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $37.15 | Professional | None | $30.90 | $36.31 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $75.86 Typical High $141.25 | Facility | None | $28.84 | $75.86 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $60.26 | Professional | None | $27.54 | $27.54 | $60.26 |
Moda Health Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $70.79 | Facility | None | $36.31 | $36.31 | $70.79 |
Moda Health Setting Professional Modifier None Typical Low $36.31 Median $43.65 Typical High $70.79 | Professional | None | $36.31 | $43.65 | $70.79 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $31.62 | Professional | None | $26.92 | $26.92 | $31.62 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $36.31 Median $54.95 Typical High $69.18 | Facility | None | $36.31 | $54.95 | $69.18 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $36.31 Median $54.95 Typical High $69.18 | Professional | None | $36.31 | $54.95 | $69.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $54.95 Median $83.18 Typical High $131.83 | Facility | None | $54.95 | $83.18 | $131.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $38.02 | Professional | None | $30.90 | $30.90 | $38.02 |
Select Health Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $47.86 | Facility | None | $36.31 | $36.31 | $47.86 |
Select Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $52.48 | Professional | None | $36.31 | $36.31 | $52.48 |
United Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $58.88 | Professional | None | $15.49 | $15.49 | $58.88 |
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 $25.70 Median $26.30 Typical High $26.30 | Professional | 78 · Unplanned return to OR | $25.70 | $26.30 | $26.30 |
Where Idaho sits
The same service costs 3.5 times more in California than in Nebraska. 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· 22nd of 51
$38.02
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.