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 $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $42.66 Typical High $42.66 | Professional | None | $20.42 | $42.66 | $42.66 |
BCBS Idaho Setting Facility Modifier None Typical Low $25.70 Median $54.95 Typical High $112.20 | Facility | None | $25.70 | $54.95 | $112.20 |
BCBS Idaho Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $22.39 | Professional | None | $18.62 | $21.88 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $45.71 Typical High $85.11 | Facility | None | $16.98 | $45.71 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $16.22 Typical High $37.15 | Professional | None | $12.30 | $16.22 | $37.15 |
Moda Health Setting Facility Modifier None Typical Low $21.88 Median $28.18 Typical High $42.66 | Facility | None | $21.88 | $28.18 | $42.66 |
Moda Health Setting Professional Modifier None Typical Low $21.88 Median $26.30 Typical High $42.66 | Professional | None | $21.88 | $26.30 | $42.66 |
Molina Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $19.05 | Professional | None | $16.22 | $16.22 | $19.05 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $21.88 Median $33.11 Typical High $41.69 | Facility | None | $21.88 | $33.11 | $41.69 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $21.88 Median $33.11 Typical High $41.69 | Professional | None | $21.88 | $33.11 | $41.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $33.11 Median $52.48 Typical High $79.43 | Facility | None | $33.11 | $52.48 | $79.43 |
Regence BlueShield Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $22.91 | Professional | None | $18.62 | $18.62 | $22.91 |
Select Health Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $93.33 | Facility | None | $21.88 | $21.88 | $93.33 |
Select Health Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $30.90 | Professional | None | $21.88 | $21.88 | $30.90 |
United Setting Professional Modifier None Typical Low $9.12 Median $12.02 Typical High $43.65 | Professional | None | $9.12 | $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 $15.49 Median $15.49 Typical High $15.49 | Professional | 78 · Unplanned return to OR | $15.49 | $15.49 | $15.49 |
Where Idaho sits
The same service costs 4.7 times more in Alaska 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· 13th 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.