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 $165.96 Median $213.80 Typical High $213.80 | Facility | None | $165.96 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $177.83 Typical High $177.83 | Professional | None | $75.86 | $177.83 | $177.83 |
BCBS Idaho Setting Facility Modifier None Typical Low $91.20 Median $162.18 Typical High $323.59 | Facility | None | $91.20 | $162.18 | $323.59 |
BCBS Idaho Setting Professional Modifier None Typical Low $77.62 Median $91.20 Typical High $93.33 | Professional | None | $77.62 | $91.20 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $190.55 Typical High $354.81 | Facility | None | $70.79 | $190.55 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $169.82 | Professional | None | $69.18 | $69.18 | $169.82 |
Moda Health Setting Facility Modifier None Typical Low $91.20 Median $213.80 Typical High $616.60 | Facility | None | $91.20 | $213.80 | $616.60 |
Moda Health Setting Professional Modifier None Typical Low $91.20 Median $109.65 Typical High $177.83 | Professional | None | $91.20 | $109.65 | $177.83 |
Molina Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $79.43 | Professional | None | $67.61 | $67.61 | $79.43 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $91.20 Median $138.04 Typical High $173.78 | Facility | None | $91.20 | $138.04 | $173.78 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $173.78 | Professional | None | $91.20 | $138.04 | $173.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $138.04 Median $218.78 Typical High $331.13 | Facility | None | $138.04 | $218.78 | $331.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $95.50 | Professional | None | $77.62 | $77.62 | $95.50 |
Select Health Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $158.49 | Facility | None | $91.20 | $91.20 | $158.49 |
Select Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $128.82 | Professional | None | $91.20 | $91.20 | $128.82 |
United Setting Professional Modifier None Typical Low $38.90 Median $52.48 Typical High $199.53 | Professional | None | $38.90 | $52.48 | $199.53 |
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 $64.57 Median $66.07 Typical High $66.07 | Professional | 78 · Unplanned return to OR | $64.57 | $66.07 | $66.07 |
Where Idaho sits
The same service costs 3.2 times more in Alaska than in Connecticut. 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· 9th of 51
$115
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.