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 $186.21 Median $239.88 Typical High $239.88 | Facility | None | $186.21 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $199.53 Typical High $199.53 | Professional | None | $100.00 | $199.53 | $199.53 |
BCBS Idaho Setting Facility Modifier None Typical Low $102.33 Median $208.93 Typical High $371.54 | Facility | None | $102.33 | $208.93 | $371.54 |
BCBS Idaho Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $104.71 | Professional | None | $87.10 | $102.33 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $213.80 Typical High $398.11 | Facility | None | $79.43 | $213.80 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $169.82 | Professional | None | $75.86 | $75.86 | $169.82 |
Moda Health Setting Facility Modifier None Typical Low $102.33 Median $186.21 Typical High $239.88 | Facility | None | $102.33 | $186.21 | $239.88 |
Moda Health Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $199.53 | Professional | None | $102.33 | $123.03 | $199.53 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $102.33 Median $154.88 Typical High $194.98 | Facility | None | $102.33 | $154.88 | $194.98 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $102.33 Median $154.88 Typical High $194.98 | Professional | None | $102.33 | $154.88 | $194.98 |
Regence BlueShield Setting Facility Modifier None Typical Low $154.88 Median $229.09 Typical High $371.54 | Facility | None | $154.88 | $229.09 | $371.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $107.15 | Professional | None | $87.10 | $87.10 | $107.15 |
Select Health Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $131.83 | Facility | None | $102.33 | $102.33 | $131.83 |
Select Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $144.54 | Professional | None | $102.33 | $102.33 | $144.54 |
United Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $162.18 | Professional | None | $42.66 | $42.66 | $162.18 |
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 $70.79 Median $72.44 Typical High $72.44 | Professional | 78 · Unplanned return to OR | $70.79 | $72.44 | $72.44 |
Where Idaho sits
The same service costs 3.7 times more in Kansas than in Alabama. 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
$129
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.