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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $100.00 Typical High $100.00 | Professional | None | $50.12 | $100.00 | $100.00 |
BCBS Idaho Setting Facility Modifier None Typical Low $51.29 Median $120.23 Typical High $371.54 | Facility | None | $51.29 | $120.23 | $371.54 |
BCBS Idaho Setting Professional Modifier None Typical Low $43.65 Median $51.29 Typical High $52.48 | Professional | None | $43.65 | $51.29 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $107.15 Typical High $199.53 | Facility | None | $39.81 | $107.15 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $85.11 | Professional | None | $38.02 | $38.02 | $85.11 |
Moda Health Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $100.00 | Facility | None | $51.29 | $51.29 | $100.00 |
Moda Health Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $100.00 | Professional | None | $51.29 | $61.66 | $100.00 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $51.29 Median $77.62 Typical High $97.72 | Facility | None | $51.29 | $77.62 | $97.72 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $51.29 Median $77.62 Typical High $97.72 | Professional | None | $51.29 | $77.62 | $97.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $77.62 Median $114.82 Typical High $186.21 | Facility | None | $77.62 | $114.82 | $186.21 |
Regence BlueShield Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $53.70 | Professional | None | $43.65 | $43.65 | $53.70 |
Select Health Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $67.61 | Facility | None | $51.29 | $51.29 | $67.61 |
Select Health Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $72.44 | Professional | None | $51.29 | $51.29 | $72.44 |
United Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $83.18 | Professional | None | $21.38 | $21.38 | $83.18 |
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 $36.31 Median $37.15 Typical High $37.15 | Professional | 78 · Unplanned return to OR | $36.31 | $37.15 | $37.15 |
Where Idaho sits
The same service costs 6.0 times more in California than in Oklahoma. 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· 12th of 51
$64.57
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.