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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $144.54 Typical High $144.54 | Professional | None | $69.18 | $144.54 | $144.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $74.13 Median $138.04 Typical High $263.03 | Facility | None | $74.13 | $138.04 | $263.03 |
BCBS Idaho Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $74.13 | Professional | None | $61.66 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $151.36 Typical High $288.40 | Facility | None | $57.54 | $151.36 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $54.95 Typical High $123.03 | Professional | None | $31.62 | $54.95 | $123.03 |
Moda Health Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $144.54 | Facility | None | $74.13 | $74.13 | $144.54 |
Moda Health Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $144.54 | Professional | None | $74.13 | $85.11 | $144.54 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $74.13 Median $109.65 Typical High $141.25 | Facility | None | $74.13 | $109.65 | $141.25 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $74.13 Median $109.65 Typical High $141.25 | Professional | None | $74.13 | $109.65 | $141.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $109.65 Median $165.96 Typical High $263.03 | Facility | None | $109.65 | $165.96 | $263.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $77.62 | Professional | None | $61.66 | $61.66 | $77.62 |
Select Health Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $95.50 | Facility | None | $74.13 | $74.13 | $95.50 |
Select Health Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $104.71 | Professional | None | $74.13 | $74.13 | $104.71 |
United Setting Professional Modifier None Typical Low $30.90 Median $31.62 Typical High $120.23 | Professional | None | $30.90 | $31.62 | $120.23 |
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 $51.29 Median $52.48 Typical High $52.48 | Professional | 78 · Unplanned return to OR | $51.29 | $52.48 | $52.48 |
Where Idaho sits
The same service costs 3.8 times more in Alaska 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· 18th of 51
$77.62
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.