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 $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $776.25 Typical High $776.25 | Professional | None | $380.19 | $776.25 | $776.25 |
BCBS Idaho Setting Facility Modifier None Typical Low $398.11 Median $741.31 Typical High $1,445.44 | Facility | None | $398.11 | $741.31 | $1,445.44 |
BCBS Idaho Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $407.38 | Professional | None | $338.84 | $398.11 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $831.76 Typical High $1,584.89 | Facility | None | $316.23 | $831.76 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $741.31 | Professional | None | $302.00 | $302.00 | $741.31 |
Moda Health Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $776.25 | Facility | None | $398.11 | $398.11 | $776.25 |
Moda Health Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $776.25 | Professional | None | $398.11 | $467.74 | $776.25 |
Molina Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $346.74 | Professional | None | $295.12 | $295.12 | $346.74 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $398.11 Median $602.56 Typical High $758.58 | Facility | None | $398.11 | $602.56 | $758.58 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $398.11 Median $602.56 Typical High $758.58 | Professional | None | $398.11 | $602.56 | $758.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $602.56 Median $954.99 Typical High $1,445.44 | Facility | None | $602.56 | $954.99 | $1,445.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $426.58 | Professional | None | $338.84 | $338.84 | $426.58 |
Select Health Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $524.81 | Facility | None | $398.11 | $398.11 | $524.81 |
Select Health Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $575.44 | Professional | None | $398.11 | $398.11 | $575.44 |
United Setting Professional Modifier None Typical Low $169.82 Median $229.09 Typical High $870.96 | Professional | None | $169.82 | $229.09 | $870.96 |
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 $281.84 Median $288.40 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $281.84 | $288.40 | $288.40 |
Where Idaho sits
The same service costs 3.8 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· 22nd of 51
$427
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.