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 $51.29 Median $100.00 Typical High $186.21 | Facility | None | $51.29 | $100.00 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $83.18 Typical High $83.18 | Professional | None | $39.81 | $83.18 | $83.18 |
BCBS Idaho Setting Facility Modifier None Typical Low $53.70 Median $138.04 Typical High $251.19 | Facility | None | $53.70 | $138.04 | $251.19 |
BCBS Idaho Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $43.65 | Professional | None | $36.31 | $42.66 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $89.13 Typical High $165.96 | Facility | None | $33.11 | $89.13 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $32.36 Typical High $79.43 | Professional | None | $26.30 | $32.36 | $79.43 |
Moda Health Setting Facility Modifier None Typical Low $42.66 Median $83.18 Typical High $186.21 | Facility | None | $42.66 | $83.18 | $186.21 |
Moda Health Setting Professional Modifier None Typical Low $42.66 Median $51.29 Typical High $83.18 | Professional | None | $42.66 | $51.29 | $83.18 |
Molina Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $37.15 | Professional | None | $31.62 | $31.62 | $37.15 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $42.66 Median $64.57 Typical High $81.28 | Facility | None | $42.66 | $64.57 | $81.28 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $42.66 Median $64.57 Typical High $81.28 | Professional | None | $42.66 | $64.57 | $81.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $64.57 Median $102.33 Typical High $154.88 | Facility | None | $64.57 | $102.33 | $154.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $44.67 | Professional | None | $36.31 | $36.31 | $44.67 |
Select Health Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $125.89 | Facility | None | $42.66 | $42.66 | $125.89 |
Select Health Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $60.26 | Professional | None | $42.66 | $42.66 | $60.26 |
United Setting Professional Modifier None Typical Low $17.78 Median $25.70 Typical High $93.33 | Professional | None | $17.78 | $25.70 | $93.33 |
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 $30.20 Median $30.90 Typical High $30.90 | Professional | 78 · Unplanned return to OR | $30.20 | $30.90 | $30.90 |
Where Idaho sits
The same service costs 3.0 times more in Alaska 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· 6th of 51
$64.57
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.