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 $331.13 Median $426.58 Typical High $426.58 | Facility | None | $331.13 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $363.08 Typical High $363.08 | Professional | None | $114.82 | $363.08 | $363.08 |
BCBS Idaho Setting Facility Modifier None Typical Low $131.83 Median $363.08 Typical High $645.65 | Facility | None | $131.83 | $363.08 | $645.65 |
BCBS Idaho Setting Professional Modifier None Typical Low $158.49 Median $186.21 Typical High $190.55 | Professional | None | $158.49 | $186.21 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $389.05 Typical High $724.44 | Facility | None | $144.54 | $389.05 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $309.03 | Professional | None | $138.04 | $138.04 | $309.03 |
Moda Health Setting Facility Modifier None Typical Low $120.23 Median $331.13 Typical High $467.74 | Facility | None | $120.23 | $331.13 | $467.74 |
Moda Health Setting Professional Modifier None Typical Low $186.21 Median $223.87 Typical High $363.08 | Professional | None | $186.21 | $223.87 | $363.08 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $158.49 | Professional | None | $109.65 | $128.82 | $158.49 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $186.21 Median $275.42 Typical High $354.81 | Facility | None | $186.21 | $275.42 | $354.81 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $186.21 Median $275.42 Typical High $354.81 | Professional | None | $186.21 | $275.42 | $354.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $275.42 Median $416.87 Typical High $660.69 | Facility | None | $275.42 | $416.87 | $660.69 |
Regence BlueShield Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $194.98 | Professional | None | $158.49 | $158.49 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $239.88 | Facility | None | $186.21 | $186.21 | $239.88 |
Select Health Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $263.03 | Professional | None | $186.21 | $186.21 | $263.03 |
United Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $295.12 | Professional | None | $77.62 | $77.62 | $295.12 |
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 $128.82 Median $131.83 Typical High $131.83 | Professional | 78 · Unplanned return to OR | $128.82 | $131.83 | $131.83 |
Where Idaho sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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
$195
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.