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 $316.23 Median $316.23 Typical High $478.63 | Facility | None | $316.23 | $316.23 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $512.86 Typical High $512.86 | Professional | None | $186.21 | $512.86 | $512.86 |
BCBS Idaho Setting Facility Modifier None Typical Low $263.03 Median $512.86 Typical High $954.99 | Facility | None | $263.03 | $512.86 | $954.99 |
BCBS Idaho Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $269.15 | Professional | None | $223.87 | $263.03 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $549.54 Typical High $1,023.29 | Facility | None | $204.17 | $549.54 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $194.98 Typical High $446.68 | Professional | None | $114.82 | $194.98 | $446.68 |
Moda Health Setting Facility Modifier None Typical Low $263.03 Median $575.44 Typical High $1,122.02 | Facility | None | $263.03 | $575.44 | $1,122.02 |
Moda Health Setting Professional Modifier None Typical Low $245.47 Median $275.42 Typical High $512.86 | Professional | None | $245.47 | $275.42 | $512.86 |
Moda Health Setting Professional Modifier QW · Waived lab test Typical Low $263.03 Median $275.42 Typical High $316.23 | Professional | QW · Waived lab test | $263.03 | $275.42 | $316.23 |
Molina Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $229.09 | Professional | None | $194.98 | $194.98 | $229.09 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $263.03 Median $398.11 Typical High $501.19 | Facility | None | $263.03 | $398.11 | $501.19 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $263.03 Median $398.11 Typical High $501.19 | Professional | None | $263.03 | $398.11 | $501.19 |
MountainHealth Co-op Setting Professional Modifier QW · Waived lab test Typical Low $263.03 Median $275.42 Typical High $398.11 | Professional | QW · Waived lab test | $263.03 | $275.42 | $398.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $398.11 Median $588.84 Typical High $954.99 | Facility | None | $398.11 | $588.84 | $954.99 |
Regence BlueShield Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $275.42 | Professional | None | $223.87 | $223.87 | $275.42 |
Select Health Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $338.84 | Facility | None | $263.03 | $263.03 | $338.84 |
Select Health Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $371.54 | Professional | None | $263.03 | $263.03 | $371.54 |
United Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $416.87 | Professional | None | $109.65 | $109.65 | $416.87 |
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 $186.21 Median $186.21 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $186.21 | $186.21 | $186.21 |
Where Idaho sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 18th of 51
$275
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.