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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $407.38 Typical High $407.38 | Professional | None | $194.98 | $407.38 | $407.38 |
BCBS Idaho Setting Facility Modifier None Typical Low $208.93 Median $398.11 Typical High $741.31 | Facility | None | $208.93 | $398.11 | $741.31 |
BCBS Idaho Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $213.80 | Professional | None | $177.83 | $208.93 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $426.58 Typical High $812.83 | Facility | None | $162.18 | $426.58 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $154.88 Typical High $354.81 | Professional | None | $91.20 | $154.88 | $354.81 |
Moda Health Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $407.38 | Facility | None | $208.93 | $208.93 | $407.38 |
Moda Health Setting Professional Modifier None Typical Low $208.93 Median $239.88 Typical High $407.38 | Professional | None | $208.93 | $239.88 | $407.38 |
Molina Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $177.83 | Professional | None | $151.36 | $151.36 | $177.83 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $208.93 Median $309.03 Typical High $398.11 | Facility | None | $208.93 | $309.03 | $398.11 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $208.93 Median $309.03 Typical High $398.11 | Professional | None | $208.93 | $309.03 | $398.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $309.03 Median $467.74 Typical High $741.31 | Facility | None | $309.03 | $467.74 | $741.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $218.78 | Professional | None | $177.83 | $177.83 | $218.78 |
Select Health Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $269.15 | Facility | None | $208.93 | $208.93 | $269.15 |
Select Health Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $295.12 | Professional | None | $208.93 | $208.93 | $295.12 |
United Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $331.13 | Professional | None | $87.10 | $87.10 | $331.13 |
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 $144.54 Median $147.91 Typical High $147.91 | Professional | 78 · Unplanned return to OR | $144.54 | $147.91 | $147.91 |
Where Idaho sits
The same service costs 5.0 times more in Texas 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· 15th of 51
$219
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.