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 $302.00 Median $380.19 Typical High $380.19 | Facility | None | $302.00 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $323.59 Typical High $323.59 | Professional | None | $154.88 | $323.59 | $323.59 |
BCBS Idaho Setting Facility Modifier None Typical Low $144.54 Median $218.78 Typical High $575.44 | Facility | None | $144.54 | $218.78 | $575.44 |
BCBS Idaho Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $169.82 | Professional | None | $141.25 | $165.96 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $346.74 Typical High $645.65 | Facility | None | $128.82 | $346.74 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $275.42 | Professional | None | $123.03 | $123.03 | $275.42 |
Moda Health Setting Facility Modifier None Typical Low $165.96 Median $213.80 Typical High $457.09 | Facility | None | $165.96 | $213.80 | $457.09 |
Moda Health Setting Professional Modifier None Typical Low $165.96 Median $190.55 Typical High $323.59 | Professional | None | $165.96 | $190.55 | $323.59 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $144.54 | Professional | None | $120.23 | $120.23 | $144.54 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $165.96 Median $245.47 Typical High $316.23 | Facility | None | $165.96 | $245.47 | $316.23 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $165.96 Median $245.47 Typical High $316.23 | Professional | None | $165.96 | $245.47 | $316.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $245.47 Median $371.54 Typical High $602.56 | Facility | None | $245.47 | $371.54 | $602.56 |
Regence BlueShield Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $173.78 | Professional | None | $141.25 | $141.25 | $173.78 |
Select Health Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $213.80 | Facility | None | $165.96 | $165.96 | $213.80 |
Select Health Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $234.42 | Professional | None | $165.96 | $165.96 | $234.42 |
United Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $263.03 | Professional | None | $69.18 | $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 $114.82 Median $117.49 Typical High $117.49 | Professional | 78 · Unplanned return to OR | $114.82 | $117.49 | $117.49 |
Where Idaho sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 18th of 51
$174
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.