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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $1,148.15 Typical High $1,148.15 | Professional | None | $549.54 | $1,148.15 | $1,148.15 |
BCBS Idaho Setting Facility Modifier None Typical Low $724.44 Median $1,318.26 Typical High $2,089.30 | Facility | None | $724.44 | $1,318.26 | $2,089.30 |
BCBS Idaho Setting Professional Modifier None Typical Low $831.76 Median $1,318.26 Typical High $1,318.26 | Professional | None | $831.76 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $1,230.27 Typical High $2,290.87 | Facility | None | $457.09 | $1,230.27 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $1,862.09 | Professional | None | $436.52 | $436.52 | $1,862.09 |
Moda Health Setting Facility Modifier None Typical Low $549.54 Median $1,202.26 Typical High $1,621.81 | Facility | None | $549.54 | $1,202.26 | $1,621.81 |
Moda Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $1,548.82 | Professional | None | $1,148.15 | $1,318.26 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,122.02 | Professional | None | $954.99 | $954.99 | $1,122.02 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,318.26 Median $1,949.84 Typical High $2,454.71 | Facility | None | $1,318.26 | $1,949.84 | $2,454.71 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,318.26 Median $1,949.84 Typical High $2,454.71 | Professional | None | $1,318.26 | $1,949.84 | $2,454.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $870.96 Median $1,318.26 Typical High $2,137.96 | Facility | None | $870.96 | $1,318.26 | $2,137.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,380.38 | Professional | None | $1,096.48 | $1,096.48 | $1,380.38 |
Select Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,698.24 | Facility | None | $1,318.26 | $1,318.26 | $1,698.24 |
Select Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,862.09 | Professional | None | $1,318.26 | $1,318.26 | $1,862.09 |
United Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $1,148.15 | Professional | None | $245.47 | $316.23 | $1,148.15 |
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 $912.01 Median $933.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $912.01 | $933.25 | $933.25 |
Where Idaho sits
The same service costs 4.0 times more in Wisconsin than in Georgia. 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· 4th of 51
$1,318
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.