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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $97.72 Typical High $97.72 | Professional | None | $46.77 | $97.72 | $97.72 |
BCBS Idaho Setting Facility Modifier None Typical Low $50.12 Median $112.20 Typical High $251.19 | Facility | None | $50.12 | $112.20 | $251.19 |
BCBS Idaho Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $50.12 | Professional | None | $41.69 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $102.33 Typical High $194.98 | Facility | None | $38.90 | $102.33 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $91.20 | Professional | None | $37.15 | $37.15 | $91.20 |
Moda Health Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $97.72 | Facility | None | $50.12 | $50.12 | $97.72 |
Moda Health Setting Professional Modifier None Typical Low $50.12 Median $57.54 Typical High $97.72 | Professional | None | $50.12 | $57.54 | $97.72 |
Molina Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | None | $36.31 | $36.31 | $42.66 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $50.12 Median $74.13 Typical High $93.33 | Facility | None | $50.12 | $74.13 | $93.33 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $50.12 Median $74.13 Typical High $93.33 | Professional | None | $50.12 | $74.13 | $93.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $74.13 Median $117.49 Typical High $177.83 | Facility | None | $74.13 | $117.49 | $177.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $52.48 | Professional | None | $41.69 | $41.69 | $52.48 |
Select Health Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $64.57 | Facility | None | $50.12 | $50.12 | $64.57 |
Select Health Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $70.79 | Professional | None | $50.12 | $50.12 | $70.79 |
United Setting Professional Modifier None Typical Low $20.89 Median $28.18 Typical High $107.15 | Professional | None | $20.89 | $28.18 | $107.15 |
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 $34.67 Median $35.48 Typical High $35.48 | Professional | 78 · Unplanned return to OR | $34.67 | $35.48 | $35.48 |
Where Idaho sits
The same service costs 5.8 times more in Texas 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· 15th of 51
$58.88
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.