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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $269.15 Typical High $269.15 | Professional | None | $128.82 | $269.15 | $269.15 |
BCBS Idaho Setting Facility Modifier None Typical Low $138.04 Median $263.03 Typical High $489.78 | Facility | None | $138.04 | $263.03 | $489.78 |
BCBS Idaho Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $141.25 | Professional | None | $117.49 | $138.04 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $281.84 Typical High $537.03 | Facility | None | $107.15 | $281.84 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $102.33 Typical High $229.09 | Professional | None | $57.54 | $102.33 | $229.09 |
Moda Health Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $269.15 | Facility | None | $138.04 | $138.04 | $269.15 |
Moda Health Setting Professional Modifier None Typical Low $138.04 Median $158.49 Typical High $269.15 | Professional | None | $138.04 | $158.49 | $269.15 |
Molina Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $117.49 | Professional | None | $100.00 | $100.00 | $117.49 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $138.04 Median $204.17 Typical High $263.03 | Facility | None | $138.04 | $204.17 | $263.03 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $138.04 Median $204.17 Typical High $263.03 | Professional | None | $138.04 | $204.17 | $263.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $204.17 Median $309.03 Typical High $489.78 | Facility | None | $204.17 | $309.03 | $489.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $144.54 | Professional | None | $117.49 | $117.49 | $144.54 |
Select Health Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $177.83 | Facility | None | $138.04 | $138.04 | $177.83 |
Select Health Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $194.98 | Professional | None | $138.04 | $138.04 | $194.98 |
United Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $218.78 | Professional | None | $57.54 | $57.54 | $218.78 |
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 $95.50 Median $97.72 Typical High $97.72 | Professional | 78 · Unplanned return to OR | $95.50 | $97.72 | $97.72 |
Where Idaho sits
The same service costs 5.2 times more in Texas 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· 19th of 51
$145
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.