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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $338.84 Typical High $338.84 | Professional | None | $123.03 | $338.84 | $338.84 |
BCBS Idaho Setting Facility Modifier None Typical Low $173.78 Median $407.38 Typical High $1,230.27 | Facility | None | $173.78 | $407.38 | $1,230.27 |
BCBS Idaho Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $177.83 | Professional | None | $147.91 | $173.78 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $363.08 Typical High $676.08 | Facility | None | $134.90 | $363.08 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $288.40 | Professional | None | $128.82 | $128.82 | $288.40 |
Moda Health Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $338.84 | Facility | None | $173.78 | $173.78 | $338.84 |
Moda Health Setting Professional Modifier None Typical Low $173.78 Median $181.97 Typical High $338.84 | Professional | None | $173.78 | $181.97 | $338.84 |
Molina Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $147.91 | Professional | None | $125.89 | $125.89 | $147.91 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $173.78 Median $257.04 Typical High $331.13 | Facility | None | $173.78 | $257.04 | $331.13 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $173.78 Median $257.04 Typical High $331.13 | Professional | None | $173.78 | $257.04 | $331.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $257.04 Median $407.38 Typical High $616.60 | Facility | None | $257.04 | $407.38 | $616.60 |
Regence BlueShield Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $181.97 | Professional | None | $147.91 | $147.91 | $181.97 |
Select Health Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $223.87 | Facility | None | $173.78 | $173.78 | $223.87 |
Select Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $245.47 | Professional | None | $173.78 | $173.78 | $245.47 |
United Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $323.59 | Professional | None | $72.44 | $85.11 | $323.59 |
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 $120.23 Median $123.03 Typical High $123.03 | Professional | 78 · Unplanned return to OR | $120.23 | $123.03 | $123.03 |
Where Idaho sits
The same service costs 3.4 times more in Alaska than in Delaware. 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
$209
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.