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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $416.87 Typical High $416.87 | Professional | None | $199.53 | $416.87 | $416.87 |
BCBS Idaho Setting Facility Modifier None Typical Low $213.80 Median $331.13 Typical High $776.25 | Facility | None | $213.80 | $331.13 | $776.25 |
BCBS Idaho Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $218.78 | Professional | None | $181.97 | $213.80 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $446.68 Typical High $831.76 | Facility | None | $165.96 | $446.68 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $354.81 | Professional | None | $158.49 | $158.49 | $354.81 |
Moda Health Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $416.87 | Facility | None | $213.80 | $213.80 | $416.87 |
Moda Health Setting Professional Modifier None Typical Low $213.80 Median $245.47 Typical High $416.87 | Professional | None | $213.80 | $245.47 | $416.87 |
Molina Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $186.21 | Professional | None | $154.88 | $154.88 | $186.21 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $213.80 Median $323.59 Typical High $407.38 | Facility | None | $213.80 | $323.59 | $407.38 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $213.80 Median $323.59 Typical High $407.38 | Professional | None | $213.80 | $323.59 | $407.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $323.59 Median $478.63 Typical High $776.25 | Facility | None | $323.59 | $478.63 | $776.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $223.87 | Professional | None | $181.97 | $181.97 | $223.87 |
Select Health Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $275.42 | Facility | None | $213.80 | $213.80 | $275.42 |
Select Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $302.00 | Professional | None | $213.80 | $213.80 | $302.00 |
United Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $245.47 | Professional | None | $63.10 | $89.13 | $245.47 |
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 $147.91 Median $151.36 Typical High $151.36 | Professional | 78 · Unplanned return to OR | $147.91 | $151.36 | $151.36 |
Where Idaho sits
The same service costs 3.7 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· 16th of 51
$224
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.