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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $371.54 Typical High $371.54 | Professional | None | $181.97 | $371.54 | $371.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $190.55 Median $295.12 Typical High $691.83 | Facility | None | $190.55 | $295.12 | $691.83 |
BCBS Idaho Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $194.98 | Professional | None | $162.18 | $190.55 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $398.11 Typical High $741.31 | Facility | None | $151.36 | $398.11 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $144.54 Typical High $316.23 | Professional | None | $35.48 | $144.54 | $316.23 |
Moda Health Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $371.54 | Facility | None | $190.55 | $190.55 | $371.54 |
Moda Health Setting Professional Modifier None Typical Low $190.55 Median $218.78 Typical High $371.54 | Professional | None | $190.55 | $218.78 | $371.54 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $190.55 Median $288.40 Typical High $363.08 | Facility | None | $190.55 | $288.40 | $363.08 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $190.55 Median $288.40 Typical High $363.08 | Professional | None | $190.55 | $288.40 | $363.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $239.88 Median $380.19 Typical High $691.83 | Facility | None | $239.88 | $380.19 | $691.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $199.53 | Professional | None | $162.18 | $162.18 | $199.53 |
Select Health Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $251.19 | Facility | None | $190.55 | $190.55 | $251.19 |
Select Health Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $275.42 | Professional | None | $190.55 | $190.55 | $275.42 |
United Setting Professional Modifier None Typical Low $35.48 Median $81.28 Typical High $134.90 | Professional | None | $35.48 | $81.28 | $134.90 |
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 $134.90 Median $138.04 Typical High $138.04 | Professional | 78 · Unplanned return to OR | $134.90 | $138.04 | $138.04 |
Where Idaho sits
The same service costs 5.4 times more in Texas than in Ohio. 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· 12th of 51
$200
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.