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 $229.09 Median $295.12 Typical High $302.00 | Facility | None | $229.09 | $295.12 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $251.19 Typical High $251.19 | Professional | None | $120.23 | $251.19 | $251.19 |
BCBS Idaho Setting Facility Modifier None Typical Low $128.82 Median $257.04 Typical High $478.63 | Facility | None | $128.82 | $257.04 | $478.63 |
BCBS Idaho Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $131.83 | Professional | None | $109.65 | $128.82 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $269.15 Typical High $501.19 | Facility | None | $100.00 | $269.15 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $95.50 Typical High $234.42 | Professional | None | $74.13 | $95.50 | $234.42 |
Moda Health Setting Facility Modifier None Typical Low $128.82 Median $512.86 Typical High $891.25 | Facility | None | $128.82 | $512.86 | $891.25 |
Moda Health Setting Professional Modifier None Typical Low $128.82 Median $154.88 Typical High $251.19 | Professional | None | $128.82 | $154.88 | $251.19 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $109.65 | Professional | None | $93.33 | $93.33 | $109.65 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $128.82 Median $190.55 Typical High $245.47 | Facility | None | $128.82 | $190.55 | $245.47 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $128.82 Median $190.55 Typical High $245.47 | Professional | None | $128.82 | $190.55 | $245.47 |
Regence BlueShield Setting Facility Modifier None Typical Low $190.55 Median $302.00 Typical High $457.09 | Facility | None | $190.55 | $302.00 | $457.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $134.90 | Professional | None | $109.65 | $109.65 | $134.90 |
Select Health Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $165.96 | Facility | None | $128.82 | $128.82 | $165.96 |
Select Health Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $181.97 | Professional | None | $128.82 | $128.82 | $181.97 |
United Setting Professional Modifier None Typical Low $53.70 Median $74.13 Typical High $281.84 | Professional | None | $53.70 | $74.13 | $281.84 |
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 $89.13 Median $91.20 Typical High $91.20 | Professional | 78 · Unplanned return to OR | $89.13 | $91.20 | $91.20 |
Where Idaho sits
The same service costs 3.3 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· 8th of 51
$182
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.