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 $102.33 Median $131.83 Typical High $131.83 | Facility | None | $102.33 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $112.20 Typical High $112.20 | Professional | None | $54.95 | $112.20 | $112.20 |
BCBS Idaho Setting Facility Modifier None Typical Low $57.54 Median $114.82 Typical High $199.53 | Facility | None | $57.54 | $114.82 | $199.53 |
BCBS Idaho Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $57.54 | Professional | None | $48.98 | $57.54 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $117.49 Typical High $223.87 | Facility | None | $44.67 | $117.49 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $93.33 | Professional | None | $42.66 | $42.66 | $93.33 |
Moda Health Setting Facility Modifier None Typical Low $57.54 Median $102.33 Typical High $131.83 | Facility | None | $57.54 | $102.33 | $131.83 |
Moda Health Setting Professional Modifier None Typical Low $57.54 Median $69.18 Typical High $112.20 | Professional | None | $57.54 | $69.18 | $112.20 |
Molina Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $48.98 | Professional | None | $41.69 | $41.69 | $48.98 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $57.54 Median $85.11 Typical High $109.65 | Facility | None | $57.54 | $85.11 | $109.65 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $57.54 Median $85.11 Typical High $109.65 | Professional | None | $57.54 | $85.11 | $109.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $85.11 Median $128.82 Typical High $204.17 | Facility | None | $85.11 | $128.82 | $204.17 |
Regence BlueShield Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $60.26 | Professional | None | $48.98 | $48.98 | $60.26 |
Select Health Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $74.13 | Facility | None | $57.54 | $57.54 | $74.13 |
Select Health Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $81.28 | Professional | None | $57.54 | $57.54 | $81.28 |
United Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $91.20 | Professional | None | $23.99 | $23.99 | $91.20 |
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 $39.81 Median $40.74 Typical High $40.74 | Professional | 78 · Unplanned return to OR | $39.81 | $40.74 | $40.74 |
Where Idaho sits
The same service costs 3.4 times more in Alaska 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· 14th of 51
$66.07
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.