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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $38.90 Typical High $38.90 | Professional | None | $19.05 | $38.90 | $38.90 |
BCBS Idaho Setting Facility Modifier None Typical Low $25.12 Median $54.95 Typical High $112.20 | Facility | None | $25.12 | $54.95 | $112.20 |
BCBS Idaho Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $20.42 | Professional | None | $16.98 | $19.95 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $41.69 Typical High $77.62 | Facility | None | $15.49 | $41.69 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $14.79 Typical High $37.15 | Professional | None | $12.30 | $14.79 | $37.15 |
Moda Health Setting Facility Modifier None Typical Low $19.95 Median $26.30 Typical High $38.90 | Facility | None | $19.95 | $26.30 | $38.90 |
Moda Health Setting Professional Modifier None Typical Low $19.95 Median $23.99 Typical High $38.90 | Professional | None | $19.95 | $23.99 | $38.90 |
Molina Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $17.38 | Professional | None | $14.79 | $14.79 | $17.38 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $19.95 Median $30.20 Typical High $38.02 | Facility | None | $19.95 | $30.20 | $38.02 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $19.95 Median $30.20 Typical High $38.02 | Professional | None | $19.95 | $30.20 | $38.02 |
Regence BlueShield Setting Facility Modifier None Typical Low $30.20 Median $47.86 Typical High $72.44 | Facility | None | $30.20 | $47.86 | $72.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $20.89 | Professional | None | $16.98 | $16.98 | $20.89 |
Select Health Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $93.33 | Facility | None | $19.95 | $19.95 | $93.33 |
Select Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $28.18 | Professional | None | $19.95 | $19.95 | $28.18 |
United Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $43.65 | Professional | None | $8.51 | $12.02 | $43.65 |
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 $14.13 Median $14.45 Typical High $14.45 | Professional | 78 · Unplanned return to OR | $14.13 | $14.45 | $14.45 |
Where Idaho sits
The same service costs 5.5 times more in Texas 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· 11th of 51
$28.18
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.