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 $257.04 Median $257.04 Typical High $316.23 | Facility | None | $257.04 | $257.04 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $263.03 Typical High $275.42 | Professional | None | $117.49 | $263.03 | $275.42 |
BCBS Idaho Setting Facility Modifier None Typical Low $141.25 Median $275.42 Typical High $512.86 | Facility | None | $141.25 | $275.42 | $512.86 |
BCBS Idaho Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $144.54 | Professional | None | $120.23 | $141.25 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $295.12 Typical High $562.34 | Facility | None | $112.20 | $295.12 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $107.15 Typical High $245.47 | Professional | None | $61.66 | $107.15 | $245.47 |
Moda Health Setting Facility Modifier None Typical Low $134.90 Median $141.25 Typical High $316.23 | Facility | None | $134.90 | $141.25 | $316.23 |
Moda Health Setting Professional Modifier None Typical Low $134.90 Median $151.36 Typical High $275.42 | Professional | None | $134.90 | $151.36 | $275.42 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $123.03 | Professional | None | $104.71 | $104.71 | $123.03 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $141.25 Median $213.80 Typical High $269.15 | Facility | None | $141.25 | $213.80 | $269.15 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $141.25 Median $213.80 Typical High $269.15 | Professional | None | $141.25 | $213.80 | $269.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $213.80 Median $323.59 Typical High $512.86 | Facility | None | $213.80 | $323.59 | $512.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $151.36 | Professional | None | $120.23 | $120.23 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $186.21 | Facility | None | $141.25 | $141.25 | $186.21 |
Select Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $204.17 | Professional | None | $141.25 | $141.25 | $204.17 |
United Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $229.09 | Professional | None | $60.26 | $60.26 | $229.09 |
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 $100.00 Median $102.33 Typical High $102.33 | Professional | 78 · Unplanned return to OR | $100.00 | $102.33 | $102.33 |
Where Idaho sits
The same service costs 5.1 times more in Alaska than in Alabama. 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· 16th of 51
$151
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.