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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $91.20 Typical High $91.20 | Professional | None | $43.65 | $91.20 | $91.20 |
BCBS Idaho Setting Facility Modifier None Typical Low $46.77 Median $81.28 Typical High $165.96 | Facility | None | $46.77 | $81.28 | $165.96 |
BCBS Idaho Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $47.86 | Professional | None | $39.81 | $46.77 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $97.72 Typical High $181.97 | Facility | None | $36.31 | $97.72 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $79.43 | Professional | None | $34.67 | $34.67 | $79.43 |
Moda Health Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $91.20 | Facility | None | $46.77 | $46.77 | $91.20 |
Moda Health Setting Professional Modifier None Typical Low $46.77 Median $53.70 Typical High $91.20 | Professional | None | $46.77 | $53.70 | $91.20 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $39.81 | Professional | None | $33.88 | $33.88 | $39.81 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $46.77 Median $69.18 Typical High $89.13 | Facility | None | $46.77 | $69.18 | $89.13 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $46.77 Median $69.18 Typical High $89.13 | Professional | None | $46.77 | $69.18 | $89.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $69.18 Median $109.65 Typical High $165.96 | Facility | None | $69.18 | $109.65 | $165.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $48.98 | Professional | None | $39.81 | $39.81 | $48.98 |
Select Health Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $60.26 | Facility | None | $46.77 | $46.77 | $60.26 |
Select Health Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $66.07 | Professional | None | $46.77 | $46.77 | $66.07 |
United Setting Professional Modifier None Typical Low $19.50 Median $24.55 Typical High $93.33 | Professional | None | $19.50 | $24.55 | $93.33 |
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 $32.36 Median $33.11 Typical High $33.11 | Professional | 78 · Unplanned return to OR | $32.36 | $33.11 | $33.11 |
Where Idaho sits
The same service costs 3.7 times more in Alaska than in New Mexico. 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· 23rd of 51
$48.98
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.