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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $75.86 Typical High $75.86 | Professional | None | $38.02 | $75.86 | $75.86 |
BCBS Idaho Setting Facility Modifier None Typical Low $36.31 Median $79.43 Typical High $141.25 | Facility | None | $36.31 | $79.43 | $141.25 |
BCBS Idaho Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $39.81 | Professional | None | $33.11 | $38.90 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $81.28 Typical High $154.88 | Facility | None | $30.90 | $81.28 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $64.57 | Professional | None | $29.51 | $29.51 | $64.57 |
Moda Health Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $75.86 | Facility | None | $38.90 | $38.90 | $75.86 |
Moda Health Setting Professional Modifier None Typical Low $38.90 Median $46.77 Typical High $75.86 | Professional | None | $38.90 | $46.77 | $75.86 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $38.90 Median $58.88 Typical High $74.13 | Facility | None | $38.90 | $58.88 | $74.13 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $38.90 Median $58.88 Typical High $74.13 | Professional | None | $38.90 | $58.88 | $74.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $58.88 Median $89.13 Typical High $141.25 | Facility | None | $58.88 | $89.13 | $141.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $41.69 | Professional | None | $33.11 | $33.11 | $41.69 |
Select Health Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $51.29 | Facility | None | $38.90 | $38.90 | $51.29 |
Select Health Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $56.23 | Professional | None | $38.90 | $38.90 | $56.23 |
United Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $63.10 | Professional | None | $16.60 | $16.60 | $63.10 |
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 $27.54 Median $28.18 Typical High $28.18 | Professional | 78 · Unplanned return to OR | $27.54 | $28.18 | $28.18 |
Where Idaho sits
The same service costs 6.6 times more in Kansas 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· 22nd of 51
$43.65
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.