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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $562.34 Typical High $562.34 | Professional | None | $275.42 | $562.34 | $562.34 |
BCBS Idaho Setting Facility Modifier None Typical Low $288.40 Median $562.34 Typical High $1,047.13 | Facility | None | $288.40 | $562.34 | $1,047.13 |
BCBS Idaho Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $295.12 | Professional | None | $245.47 | $288.40 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $602.56 Typical High $1,148.15 | Facility | None | $229.09 | $602.56 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $218.78 Typical High $478.63 | Professional | None | $123.03 | $218.78 | $478.63 |
Moda Health Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $562.34 | Facility | None | $288.40 | $288.40 | $562.34 |
Moda Health Setting Professional Modifier None Typical Low $288.40 Median $338.84 Typical High $562.34 | Professional | None | $288.40 | $338.84 | $562.34 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $288.40 Median $436.52 Typical High $549.54 | Facility | None | $288.40 | $436.52 | $549.54 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $288.40 Median $436.52 Typical High $549.54 | Professional | None | $288.40 | $436.52 | $549.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $436.52 Median $660.69 Typical High $1,047.13 | Facility | None | $436.52 | $660.69 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $309.03 | Professional | None | $245.47 | $245.47 | $309.03 |
Select Health Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $380.19 | Facility | None | $288.40 | $288.40 | $380.19 |
Select Health Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $416.87 | Professional | None | $288.40 | $288.40 | $416.87 |
United Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $467.74 | Professional | None | $123.03 | $123.03 | $467.74 |
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 $204.17 Median $208.93 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $204.17 | $208.93 | $208.93 |
Where Idaho sits
The same service costs 4.5 times more in Texas than in Delaware. 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· 17th of 51
$309
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.