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 $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $346.74 Typical High $346.74 | Professional | None | $165.96 | $346.74 | $346.74 |
BCBS Idaho Setting Facility Modifier None Typical Low $177.83 Median $275.42 Typical High $630.96 | Facility | None | $177.83 | $275.42 | $630.96 |
BCBS Idaho Setting Professional Modifier None Typical Low $151.36 Median $177.83 Typical High $181.97 | Professional | None | $151.36 | $177.83 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $371.54 Typical High $691.83 | Facility | None | $138.04 | $371.54 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $323.59 | Professional | None | $131.83 | $131.83 | $323.59 |
Moda Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $346.74 | Facility | None | $177.83 | $177.83 | $346.74 |
Moda Health Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $346.74 | Professional | None | $177.83 | $213.80 | $346.74 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $154.88 | Professional | None | $128.82 | $128.82 | $154.88 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $177.83 Median $263.03 Typical High $338.84 | Facility | None | $177.83 | $263.03 | $338.84 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $177.83 Median $263.03 Typical High $338.84 | Professional | None | $177.83 | $263.03 | $338.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $263.03 Median $416.87 Typical High $630.96 | Facility | None | $263.03 | $416.87 | $630.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $186.21 | Professional | None | $151.36 | $151.36 | $186.21 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $229.09 | Facility | None | $177.83 | $177.83 | $229.09 |
Select Health Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $251.19 | Professional | None | $177.83 | $177.83 | $251.19 |
United Setting Professional Modifier None Typical Low $74.13 Median $102.33 Typical High $389.05 | Professional | None | $74.13 | $102.33 | $389.05 |
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 $123.03 Median $125.89 Typical High $125.89 | Professional | 78 · Unplanned return to OR | $123.03 | $125.89 | $125.89 |
Where Idaho sits
The same service costs 3.4 times more in Alaska 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· 17th of 51
$209
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.