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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $114.82 Typical High $114.82 | Professional | None | $56.23 | $114.82 | $114.82 |
BCBS Idaho Setting Facility Modifier None Typical Low $58.88 Median $107.15 Typical High $208.93 | Facility | None | $58.88 | $107.15 | $208.93 |
BCBS Idaho Setting Professional Modifier None Typical Low $50.12 Median $58.88 Typical High $60.26 | Professional | None | $50.12 | $58.88 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $123.03 Typical High $229.09 | Facility | None | $45.71 | $123.03 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $97.72 | Professional | None | $43.65 | $43.65 | $97.72 |
Moda Health Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $114.82 | Facility | None | $58.88 | $58.88 | $114.82 |
Moda Health Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $114.82 | Professional | None | $58.88 | $70.79 | $114.82 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $58.88 Median $87.10 Typical High $112.20 | Facility | None | $58.88 | $87.10 | $112.20 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $58.88 Median $87.10 Typical High $112.20 | Professional | None | $58.88 | $87.10 | $112.20 |
Regence BlueShield Setting Facility Modifier None Typical Low $87.10 Median $131.83 Typical High $208.93 | Facility | None | $87.10 | $131.83 | $208.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $61.66 | Professional | None | $50.12 | $50.12 | $61.66 |
Select Health Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $75.86 | Facility | None | $58.88 | $58.88 | $75.86 |
Select Health Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $83.18 | Professional | None | $58.88 | $58.88 | $83.18 |
United Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $93.33 | Professional | None | $24.55 | $24.55 | $93.33 |
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 $40.74 Median $41.69 Typical High $41.69 | Professional | 78 · Unplanned return to OR | $40.74 | $41.69 | $41.69 |
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· 13th of 51
$70.79
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.