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 $223.87 Median $288.40 Typical High $288.40 | Facility | None | $223.87 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $245.47 Typical High $245.47 | Professional | None | $104.71 | $245.47 | $245.47 |
BCBS Idaho Setting Facility Modifier None Typical Low $125.89 Median $239.88 Typical High $446.68 | Facility | None | $125.89 | $239.88 | $446.68 |
BCBS Idaho Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $128.82 | Professional | None | $107.15 | $125.89 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $257.04 Typical High $489.78 | Facility | None | $97.72 | $257.04 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $93.33 Typical High $204.17 | Professional | None | $52.48 | $93.33 | $204.17 |
Moda Health Setting Facility Modifier None Typical Low $125.89 Median $288.40 Typical High $794.33 | Facility | None | $125.89 | $288.40 | $794.33 |
Moda Health Setting Professional Modifier None Typical Low $125.89 Median $151.36 Typical High $245.47 | Professional | None | $125.89 | $151.36 | $245.47 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $107.15 | Professional | None | $91.20 | $91.20 | $107.15 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $125.89 Median $186.21 Typical High $239.88 | Facility | None | $125.89 | $186.21 | $239.88 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $125.89 Median $186.21 Typical High $239.88 | Professional | None | $125.89 | $186.21 | $239.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $186.21 Median $281.84 Typical High $446.68 | Facility | None | $186.21 | $281.84 | $446.68 |
Regence BlueShield Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $131.83 | Professional | None | $107.15 | $107.15 | $131.83 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $162.18 | Facility | None | $125.89 | $125.89 | $162.18 |
Select Health Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $177.83 | Professional | None | $125.89 | $125.89 | $177.83 |
United Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $199.53 | Professional | None | $52.48 | $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 $87.10 Median $89.13 Typical High $89.13 | Professional | 78 · Unplanned return to OR | $87.10 | $89.13 | $89.13 |
Where Idaho sits
The same service costs 4.5 times more in Alaska 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· 18th of 51
$135
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.