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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $467.74 Typical High $467.74 | Professional | None | $223.87 | $467.74 | $467.74 |
BCBS Idaho Setting Facility Modifier None Typical Low $223.87 Median $331.13 Typical High $831.76 | Facility | None | $223.87 | $331.13 | $831.76 |
BCBS Idaho Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $245.47 | Professional | None | $204.17 | $239.88 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $489.78 Typical High $933.25 | Facility | None | $186.21 | $489.78 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $398.11 | Professional | None | $177.83 | $177.83 | $398.11 |
Moda Health Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $467.74 | Facility | None | $239.88 | $239.88 | $467.74 |
Moda Health Setting Professional Modifier None Typical Low $239.88 Median $275.42 Typical High $467.74 | Professional | None | $239.88 | $275.42 | $467.74 |
Molina Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $204.17 | Professional | None | $173.78 | $173.78 | $204.17 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $239.88 Median $354.81 Typical High $457.09 | Facility | None | $239.88 | $354.81 | $457.09 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $239.88 Median $354.81 Typical High $457.09 | Professional | None | $239.88 | $354.81 | $457.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $354.81 Median $537.03 Typical High $851.14 | Facility | None | $354.81 | $537.03 | $851.14 |
Regence BlueShield Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $251.19 | Professional | None | $204.17 | $204.17 | $251.19 |
Select Health Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $309.03 | Facility | None | $239.88 | $239.88 | $309.03 |
Select Health Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $338.84 | Professional | None | $239.88 | $239.88 | $338.84 |
United Setting Professional Modifier None Typical Low $67.61 Median $100.00 Typical High $257.04 | Professional | None | $67.61 | $100.00 | $257.04 |
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 $165.96 Median $169.82 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $165.96 | $169.82 | $169.82 |
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· 14th of 51
$251
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.