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 $102.33 Median $199.53 Typical High $199.53 | Facility | None | $102.33 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $165.96 Typical High $199.53 | Professional | None | $83.18 | $165.96 | $199.53 |
BCBS Idaho Setting Facility Modifier None Typical Low $85.11 Median $281.84 Typical High $489.78 | Facility | None | $85.11 | $281.84 | $489.78 |
BCBS Idaho Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $87.10 | Professional | None | $72.44 | $85.11 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $177.83 Typical High $331.13 | Facility | None | $66.07 | $177.83 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $63.10 Typical High $154.88 | Professional | None | $52.48 | $63.10 | $154.88 |
Moda Health Setting Facility Modifier None Typical Low $85.11 Median $165.96 Typical High $257.04 | Facility | None | $85.11 | $165.96 | $257.04 |
Moda Health Setting Professional Modifier None Typical Low $85.11 Median $102.33 Typical High $165.96 | Professional | None | $85.11 | $102.33 | $165.96 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $74.13 | Professional | None | $63.10 | $63.10 | $74.13 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $85.11 Median $128.82 Typical High $162.18 | Facility | None | $85.11 | $128.82 | $162.18 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $85.11 Median $128.82 Typical High $162.18 | Professional | None | $85.11 | $128.82 | $162.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $128.82 Median $204.17 Typical High $309.03 | Facility | None | $128.82 | $204.17 | $309.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $89.13 | Professional | None | $72.44 | $72.44 | $89.13 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $251.19 | Facility | None | $85.11 | $85.11 | $251.19 |
Select Health Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $120.23 | Professional | None | $85.11 | $85.11 | $120.23 |
United Setting Professional Modifier None Typical Low $35.48 Median $50.12 Typical High $186.21 | Professional | None | $35.48 | $50.12 | $186.21 |
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 $60.26 Median $60.26 Typical High $60.26 | Professional | 78 · Unplanned return to OR | $60.26 | $60.26 | $60.26 |
Where Idaho sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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
$129
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.