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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $645.65 Typical High $645.65 | Professional | None | $309.03 | $645.65 | $645.65 |
BCBS Idaho Setting Facility Modifier None Typical Low $100.00 Median $389.05 Typical High $1,202.26 | Facility | None | $100.00 | $389.05 | $1,202.26 |
BCBS Idaho Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $338.84 | Professional | None | $281.84 | $331.13 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $691.83 Typical High $1,288.25 | Facility | None | $257.04 | $691.83 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $549.54 | Professional | None | $245.47 | $245.47 | $549.54 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $645.65 | Facility | None | $331.13 | $331.13 | $645.65 |
Moda Health Setting Professional Modifier None Typical Low $331.13 Median $380.19 Typical High $645.65 | Professional | None | $331.13 | $380.19 | $645.65 |
Molina Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $288.40 | Professional | None | $245.47 | $245.47 | $288.40 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $331.13 Median $501.19 Typical High $630.96 | Facility | None | $331.13 | $501.19 | $630.96 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $331.13 Median $501.19 Typical High $630.96 | Professional | None | $331.13 | $501.19 | $630.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $501.19 Median $741.31 Typical High $1,202.26 | Facility | None | $501.19 | $741.31 | $1,202.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $346.74 | Professional | None | $281.84 | $281.84 | $346.74 |
Select Health Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $426.58 | Facility | None | $331.13 | $331.13 | $426.58 |
Select Health Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $467.74 | Professional | None | $331.13 | $331.13 | $467.74 |
United Setting Professional Modifier None Typical Low $109.65 Median $138.04 Typical High $416.87 | Professional | None | $109.65 | $138.04 | $416.87 |
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 $229.09 Median $234.42 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $229.09 | $234.42 | $234.42 |
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· 13th of 51
$347
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.