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 $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $676.08 Typical High $676.08 | Professional | None | $323.59 | $676.08 | $676.08 |
BCBS Idaho Setting Facility Modifier None Typical Low $346.74 Median $630.96 Typical High $1,230.27 | Facility | None | $346.74 | $630.96 | $1,230.27 |
BCBS Idaho Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $354.81 | Professional | None | $295.12 | $346.74 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $724.44 Typical High $1,348.96 | Facility | None | $269.15 | $724.44 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $630.96 | Professional | None | $257.04 | $257.04 | $630.96 |
Moda Health Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $676.08 | Facility | None | $346.74 | $346.74 | $676.08 |
Moda Health Setting Professional Modifier None Typical Low $346.74 Median $398.11 Typical High $676.08 | Professional | None | $346.74 | $398.11 | $676.08 |
Molina Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $302.00 | Professional | None | $251.19 | $251.19 | $302.00 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $346.74 Median $512.86 Typical High $660.69 | Facility | None | $346.74 | $512.86 | $660.69 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $346.74 Median $512.86 Typical High $660.69 | Professional | None | $346.74 | $512.86 | $660.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $512.86 Median $812.83 Typical High $1,230.27 | Facility | None | $512.86 | $812.83 | $1,230.27 |
Regence BlueShield Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $363.08 | Professional | None | $295.12 | $295.12 | $363.08 |
Select Health Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $446.68 | Facility | None | $346.74 | $346.74 | $446.68 |
Select Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $489.78 | Professional | None | $346.74 | $346.74 | $489.78 |
United Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $758.58 | Professional | None | $144.54 | $199.53 | $758.58 |
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 $239.88 Median $245.47 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $239.88 | $245.47 | $245.47 |
Where Idaho sits
The same service costs 4.6 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· 19th of 51
$380
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.