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 $0.02 Median $0.02 Typical High $0.02 | Facility | None | $0.02 | $0.02 | $0.02 |
BCBS Idaho Setting Facility Modifier None Typical Low $467.74 Median $1,412.54 Typical High $3,311.31 | Facility | None | $467.74 | $1,412.54 | $3,311.31 |
BCBS Idaho Setting Professional Modifier None Typical Low $776.25 Median $912.01 Typical High $933.25 | Professional | None | $776.25 | $912.01 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,905.46 Typical High $3,548.13 | Facility | None | $707.95 | $1,905.46 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,513.56 | Professional | None | $676.08 | $676.08 | $1,513.56 |
Moda Health Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,174.90 | Facility | None | $912.01 | $912.01 | $1,174.90 |
Moda Health Setting Professional Modifier None Typical Low $912.01 Median $954.99 Typical High $1,096.48 | Professional | None | $912.01 | $954.99 | $1,096.48 |
Molina Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $794.33 | Professional | None | $676.08 | $676.08 | $794.33 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $912.01 Median $1,380.38 Typical High $1,737.80 | Facility | None | $912.01 | $1,380.38 | $1,737.80 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $912.01 Median $1,380.38 Typical High $1,737.80 | Professional | None | $912.01 | $1,380.38 | $1,737.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,380.38 Median $2,041.74 Typical High $3,311.31 | Facility | None | $1,380.38 | $2,041.74 | $3,311.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $954.99 | Professional | None | $776.25 | $776.25 | $954.99 |
Select Health Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,174.90 | Facility | None | $912.01 | $912.01 | $1,174.90 |
Select Health Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,288.25 | Professional | None | $912.01 | $912.01 | $1,288.25 |
United Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $1,479.11 | Professional | None | $380.19 | $380.19 | $1,479.11 |
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 $645.65 Median $645.65 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $645.65 |
Where Idaho sits
The same service costs 12.0 times more in Texas than in New Mexico. 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· 21st of 51
$933
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.