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 $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $4,168.69 Typical High $4,168.69 | Professional | None | $1,995.26 | $4,168.69 | $4,168.69 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,137.96 Median $3,630.78 Typical High $7,762.47 | Facility | None | $2,137.96 | $3,630.78 | $7,762.47 |
BCBS Idaho Setting Professional Modifier None Typical Low $616.60 Median $2,137.96 Typical High $2,187.76 | Professional | None | $616.60 | $2,137.96 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $4,466.84 Typical High $8,317.64 | Facility | None | $1,659.59 | $4,466.84 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $3,548.13 | Professional | None | $1,584.89 | $1,584.89 | $3,548.13 |
Moda Health Setting Facility Modifier None Typical Low $1,995.26 Median $2,137.96 Typical High $4,365.16 | Facility | None | $1,995.26 | $2,137.96 | $4,365.16 |
Moda Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,570.40 Typical High $4,168.69 | Professional | None | $2,137.96 | $2,570.40 | $4,168.69 |
Molina Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,862.09 | Professional | None | $1,584.89 | $1,584.89 | $1,862.09 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $2,137.96 Median $3,235.94 Typical High $4,073.80 | Facility | None | $2,137.96 | $3,235.94 | $4,073.80 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,137.96 Median $3,235.94 Typical High $4,073.80 | Professional | None | $2,137.96 | $3,235.94 | $4,073.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,235.94 Median $4,786.30 Typical High $7,762.47 | Facility | None | $3,235.94 | $4,786.30 | $7,762.47 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,238.72 | Professional | None | $1,819.70 | $1,819.70 | $2,238.72 |
Select Health Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,818.38 | Facility | None | $2,137.96 | $2,137.96 | $2,818.38 |
Select Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $3,019.95 | Professional | None | $2,137.96 | $2,137.96 | $3,019.95 |
United Setting Professional Modifier None Typical Low $251.19 Median $891.25 Typical High $1,288.25 | Professional | None | $251.19 | $891.25 | $1,288.25 |
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,513.56 | $1,513.56 |
Where Idaho sits
The same service costs 6.0 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· 12th of 51
$2,239
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.