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 $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $588.84 Typical High $588.84 | Professional | None | $281.84 | $588.84 | $588.84 |
BCBS Idaho Setting Facility Modifier None Typical Low $302.00 Median $588.84 Typical High $1,096.48 | Facility | None | $302.00 | $588.84 | $1,096.48 |
BCBS Idaho Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $309.03 | Professional | None | $257.04 | $302.00 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $630.96 Typical High $1,174.90 | Facility | None | $234.42 | $630.96 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $223.87 Typical High $501.19 | Professional | None | $125.89 | $223.87 | $501.19 |
Moda Health Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $588.84 | Facility | None | $302.00 | $302.00 | $588.84 |
Moda Health Setting Professional Modifier None Typical Low $302.00 Median $346.74 Typical High $588.84 | Professional | None | $302.00 | $346.74 | $588.84 |
Molina Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $263.03 | Professional | None | $223.87 | $223.87 | $263.03 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $302.00 Median $457.09 Typical High $575.44 | Facility | None | $302.00 | $457.09 | $575.44 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $302.00 Median $457.09 Typical High $575.44 | Professional | None | $302.00 | $457.09 | $575.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $457.09 Median $676.08 Typical High $1,096.48 | Facility | None | $457.09 | $676.08 | $1,096.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $316.23 | Professional | None | $257.04 | $257.04 | $316.23 |
Select Health Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $389.05 | Facility | None | $302.00 | $302.00 | $389.05 |
Select Health Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $426.58 | Professional | None | $302.00 | $302.00 | $426.58 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $478.63 | Professional | None | $125.89 | $125.89 | $478.63 |
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 $208.93 Median $213.80 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $208.93 | $213.80 | $213.80 |
Where Idaho sits
The same service costs 4.7 times more in Texas than in Alabama. 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
$316
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.