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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $295.12 Typical High $295.12 | Professional | None | $141.25 | $295.12 | $295.12 |
BCBS Idaho Setting Facility Modifier None Typical Low $89.13 Median $257.04 Typical High $524.81 | Facility | None | $89.13 | $257.04 | $524.81 |
BCBS Idaho Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $154.88 | Professional | None | $128.82 | $151.36 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $316.23 Typical High $588.84 | Facility | None | $117.49 | $316.23 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $251.19 | Professional | None | $112.20 | $112.20 | $251.19 |
Moda Health Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $295.12 | Facility | None | $151.36 | $151.36 | $295.12 |
Moda Health Setting Professional Modifier None Typical Low $151.36 Median $173.78 Typical High $295.12 | Professional | None | $151.36 | $173.78 | $295.12 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $128.82 | Professional | None | $109.65 | $109.65 | $128.82 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $151.36 Median $223.87 Typical High $288.40 | Facility | None | $151.36 | $223.87 | $288.40 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $151.36 Median $223.87 Typical High $288.40 | Professional | None | $151.36 | $223.87 | $288.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $223.87 Median $338.84 Typical High $537.03 | Facility | None | $223.87 | $338.84 | $537.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $158.49 | Professional | None | $128.82 | $128.82 | $158.49 |
Select Health Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $194.98 | Facility | None | $151.36 | $151.36 | $194.98 |
Select Health Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $213.80 | Professional | None | $151.36 | $151.36 | $213.80 |
United Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $239.88 | Professional | None | $63.10 | $63.10 | $239.88 |
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 $104.71 Median $107.15 Typical High $107.15 | Professional | 78 · Unplanned return to OR | $104.71 | $107.15 | $107.15 |
Where Idaho sits
The same service costs 5.4 times more in Alaska 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· 20th of 51
$158
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.