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 $56.23 Median $81.28 Typical High $85.11 | Facility | None | $56.23 | $81.28 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $53.70 Typical High $77.62 | Professional | None | $33.88 | $53.70 | $77.62 |
BCBS Idaho Setting Facility Modifier None Typical Low $43.65 Median $97.72 Typical High $190.55 | Facility | None | $43.65 | $97.72 | $190.55 |
BCBS Idaho Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $35.48 | Professional | None | $29.51 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $72.44 Typical High $138.04 | Facility | None | $27.54 | $72.44 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $26.30 Typical High $64.57 | Professional | None | $21.38 | $26.30 | $64.57 |
Moda Health Setting Facility Modifier None Typical Low $63.10 Median $138.04 Typical High $204.17 | Facility | None | $63.10 | $138.04 | $204.17 |
Moda Health Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $75.86 | Professional | None | $35.48 | $41.69 | $75.86 |
Moda Health Setting Professional Modifier QW · Waived lab test Typical Low $35.48 Median $37.15 Typical High $41.69 | Professional | QW · Waived lab test | $35.48 | $37.15 | $41.69 |
Molina Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | None | $25.70 | $25.70 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $35.48 Median $52.48 Typical High $66.07 | Facility | None | $35.48 | $52.48 | $66.07 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $35.48 Median $52.48 Typical High $66.07 | Professional | None | $35.48 | $52.48 | $66.07 |
MountainHealth Co-op Setting Professional Modifier QW · Waived lab test Typical Low $35.48 Median $37.15 Typical High $52.48 | Professional | QW · Waived lab test | $35.48 | $37.15 | $52.48 |
Regence BlueShield Setting Facility Modifier None Typical Low $52.48 Median $83.18 Typical High $125.89 | Facility | None | $52.48 | $83.18 | $125.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $37.15 | Professional | None | $29.51 | $29.51 | $37.15 |
Select Health Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $120.23 | Facility | None | $35.48 | $35.48 | $120.23 |
Select Health Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $50.12 | Professional | None | $35.48 | $35.48 | $50.12 |
United Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $75.86 | Professional | None | $14.79 | $20.89 | $75.86 |
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 $24.55 Median $25.12 Typical High $25.12 | Professional | 78 · Unplanned return to OR | $24.55 | $25.12 | $25.12 |
Where Idaho sits
The same service costs 4.3 times more in Minnesota than in Maryland. 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· 7th of 51
$61.66
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.