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 $309.03 Median $398.11 Typical High $398.11 | Facility | None | $309.03 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $331.13 Typical High $331.13 | Professional | None | $158.49 | $331.13 | $331.13 |
BCBS Idaho Setting Facility Modifier None Typical Low $151.36 Median $213.80 Typical High $616.60 | Facility | None | $151.36 | $213.80 | $616.60 |
BCBS Idaho Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $173.78 | Professional | None | $144.54 | $169.82 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $354.81 Typical High $660.69 | Facility | None | $131.83 | $354.81 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $281.84 | Professional | None | $125.89 | $125.89 | $281.84 |
Moda Health Setting Facility Modifier None Typical Low $169.82 Median $309.03 Typical High $398.11 | Facility | None | $169.82 | $309.03 | $398.11 |
Moda Health Setting Professional Modifier None Typical Low $169.82 Median $204.17 Typical High $331.13 | Professional | None | $169.82 | $204.17 | $331.13 |
Molina Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $147.91 | Professional | None | $125.89 | $125.89 | $147.91 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $169.82 Median $257.04 Typical High $323.59 | Facility | None | $169.82 | $257.04 | $323.59 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $169.82 Median $257.04 Typical High $323.59 | Professional | None | $169.82 | $257.04 | $323.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $257.04 Median $380.19 Typical High $616.60 | Facility | None | $257.04 | $380.19 | $616.60 |
Regence BlueShield Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $177.83 | Professional | None | $144.54 | $144.54 | $177.83 |
Select Health Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $218.78 | Facility | None | $169.82 | $169.82 | $218.78 |
Select Health Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $239.88 | Professional | None | $169.82 | $169.82 | $239.88 |
United Setting Professional Modifier None Typical Low $53.70 Median $70.79 Typical High $204.17 | Professional | None | $53.70 | $70.79 | $204.17 |
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 $120.23 Median $120.23 Typical High $120.23 | Professional | 78 · Unplanned return to OR | $120.23 | $120.23 | $120.23 |
Where Idaho sits
The same service costs 3.5 times more in Alaska than in North Carolina. 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
$182
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.