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 $117.49 Median $117.49 Typical High $134.90 | Facility | None | $117.49 | $117.49 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $128.82 Typical High $128.82 | Professional | None | $61.66 | $128.82 | $128.82 |
BCBS Idaho Setting Facility Modifier None Typical Low $69.18 Median $147.91 Typical High $234.42 | Facility | None | $69.18 | $147.91 | $234.42 |
BCBS Idaho Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $66.07 | Professional | None | $54.95 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $134.90 Typical High $257.04 | Facility | None | $51.29 | $134.90 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $107.15 | Professional | None | $48.98 | $48.98 | $107.15 |
Moda Health Setting Facility Modifier None Typical Low $66.07 Median $117.49 Typical High $245.47 | Facility | None | $66.07 | $117.49 | $245.47 |
Moda Health Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $128.82 | Professional | None | $66.07 | $77.62 | $128.82 |
Molina Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $56.23 | Professional | None | $47.86 | $47.86 | $56.23 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $66.07 Median $97.72 Typical High $123.03 | Facility | None | $66.07 | $97.72 | $123.03 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $66.07 Median $97.72 Typical High $123.03 | Professional | None | $66.07 | $97.72 | $123.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $97.72 Median $147.91 Typical High $234.42 | Facility | None | $97.72 | $147.91 | $234.42 |
Regence BlueShield Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $69.18 | Professional | None | $54.95 | $54.95 | $69.18 |
Select Health Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $169.82 | Facility | None | $66.07 | $66.07 | $169.82 |
Select Health Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $93.33 | Professional | None | $66.07 | $66.07 | $93.33 |
United Setting Professional Modifier None Typical Low $25.12 Median $27.54 Typical High $95.50 | Professional | None | $25.12 | $27.54 | $95.50 |
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 $45.71 Median $46.77 Typical High $46.77 | Professional | 78 · Unplanned return to OR | $45.71 | $46.77 | $46.77 |
Where Idaho sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 12th 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.