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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $109.65 Typical High $109.65 | Professional | None | $52.48 | $109.65 | $109.65 |
BCBS Idaho Setting Facility Modifier None Typical Low $56.23 Median $138.04 Typical High $234.42 | Facility | None | $56.23 | $138.04 | $234.42 |
BCBS Idaho Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $56.23 | Professional | None | $47.86 | $56.23 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $114.82 Typical High $218.78 | Facility | None | $43.65 | $114.82 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $41.69 Typical High $93.33 | Professional | None | $25.70 | $41.69 | $93.33 |
Moda Health Setting Facility Modifier None Typical Low $56.23 Median $72.44 Typical High $109.65 | Facility | None | $56.23 | $72.44 | $109.65 |
Moda Health Setting Professional Modifier None Typical Low $56.23 Median $67.61 Typical High $109.65 | Professional | None | $56.23 | $67.61 | $109.65 |
Molina Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $47.86 | Professional | None | $40.74 | $40.74 | $47.86 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $56.23 Median $83.18 Typical High $107.15 | Facility | None | $56.23 | $83.18 | $107.15 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $56.23 Median $83.18 Typical High $107.15 | Professional | None | $56.23 | $83.18 | $107.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $83.18 Median $125.89 Typical High $199.53 | Facility | None | $83.18 | $125.89 | $199.53 |
Regence BlueShield Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $58.88 | Professional | None | $47.86 | $47.86 | $58.88 |
Select Health Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $194.98 | Facility | None | $56.23 | $56.23 | $194.98 |
Select Health Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $79.43 | Professional | None | $56.23 | $56.23 | $79.43 |
United Setting Professional Modifier None Typical Low $23.44 Median $24.55 Typical High $91.20 | Professional | None | $23.44 | $24.55 | $91.20 |
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 $38.90 Median $39.81 Typical High $39.81 | Professional | 78 · Unplanned return to OR | $38.90 | $39.81 | $39.81 |
Where Idaho sits
The same service costs 3.8 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· 11th of 51
$69.18
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.