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 $151.36 Median $190.55 Typical High $190.55 | Facility | None | $151.36 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $162.18 Typical High $162.18 | Professional | None | $77.62 | $162.18 | $162.18 |
BCBS Idaho Setting Facility Modifier None Typical Low $83.18 Median $165.96 Typical High $302.00 | Facility | None | $83.18 | $165.96 | $302.00 |
BCBS Idaho Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $85.11 | Professional | None | $70.79 | $83.18 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $173.78 Typical High $323.59 | Facility | None | $64.57 | $173.78 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $138.04 | Professional | None | $61.66 | $61.66 | $138.04 |
Moda Health Setting Facility Modifier None Typical Low $83.18 Median $151.36 Typical High $190.55 | Facility | None | $83.18 | $151.36 | $190.55 |
Moda Health Setting Professional Modifier None Typical Low $83.18 Median $95.50 Typical High $162.18 | Professional | None | $83.18 | $95.50 | $162.18 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $72.44 | Professional | None | $60.26 | $60.26 | $72.44 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $83.18 Median $125.89 Typical High $158.49 | Facility | None | $83.18 | $125.89 | $158.49 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $83.18 Median $125.89 Typical High $158.49 | Professional | None | $83.18 | $125.89 | $158.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $125.89 Median $186.21 Typical High $302.00 | Facility | None | $125.89 | $186.21 | $302.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $87.10 | Professional | None | $70.79 | $70.79 | $87.10 |
Select Health Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $107.15 | Facility | None | $83.18 | $83.18 | $107.15 |
Select Health Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $117.49 | Professional | None | $83.18 | $83.18 | $117.49 |
United Setting Professional Modifier None Typical Low $33.11 Median $34.67 Typical High $117.49 | Professional | None | $33.11 | $34.67 | $117.49 |
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 $57.54 Median $58.88 Typical High $58.88 | Professional | 78 · Unplanned return to OR | $57.54 | $58.88 | $58.88 |
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· 22nd of 51
$87.10
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.