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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $851.14 Typical High $851.14 | Professional | None | $416.87 | $851.14 | $851.14 |
BCBS Idaho Setting Facility Modifier None Typical Low $660.69 Median $1,096.48 Typical High $1,584.89 | Facility | None | $660.69 | $1,096.48 | $1,584.89 |
BCBS Idaho Setting Professional Modifier None Typical Low $616.60 Median $1,318.26 Typical High $1,318.26 | Professional | None | $616.60 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $912.01 Typical High $1,698.24 | Facility | None | $338.84 | $912.01 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $1,862.09 | Professional | None | $323.59 | $323.59 | $1,862.09 |
Moda Health Setting Facility Modifier None Typical Low $416.87 Median $891.25 Typical High $1,318.26 | Facility | None | $416.87 | $891.25 | $1,318.26 |
Moda Health Setting Professional Modifier None Typical Low $851.14 Median $1,318.26 Typical High $1,548.82 | Professional | None | $851.14 | $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 $660.69 Median $977.24 Typical High $1,621.81 | Facility | None | $660.69 | $977.24 | $1,621.81 |
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 $186.21 Median $251.19 Typical High $954.99 | Professional | None | $186.21 | $251.19 | $954.99 |
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 5.2 times more in North Dakota 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· 5th of 51
$1,230
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.