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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $81.28 Typical High $81.28 | Professional | None | $38.90 | $81.28 | $81.28 |
BCBS Idaho Setting Facility Modifier None Typical Low $51.29 Median $114.82 Typical High $234.42 | Facility | None | $51.29 | $114.82 | $234.42 |
BCBS Idaho Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $42.66 | Professional | None | $35.48 | $41.69 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $87.10 Typical High $162.18 | Facility | None | $32.36 | $87.10 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $30.90 Typical High $77.62 | Professional | None | $25.70 | $30.90 | $77.62 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $53.70 Typical High $81.28 | Facility | None | $41.69 | $53.70 | $81.28 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $81.28 | Professional | None | $41.69 | $50.12 | $81.28 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $36.31 | Professional | None | $30.90 | $30.90 | $36.31 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $41.69 Median $63.10 Typical High $79.43 | Facility | None | $41.69 | $63.10 | $79.43 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $41.69 Median $63.10 Typical High $79.43 | Professional | None | $41.69 | $63.10 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $63.10 Median $100.00 Typical High $151.36 | Facility | None | $63.10 | $100.00 | $151.36 |
Regence BlueShield Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $43.65 | Professional | None | $35.48 | $35.48 | $43.65 |
Select Health Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $194.98 | Facility | None | $41.69 | $41.69 | $194.98 |
Select Health Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $58.88 | Professional | None | $41.69 | $41.69 | $58.88 |
United Setting Professional Modifier None Typical Low $17.38 Median $24.55 Typical High $91.20 | Professional | None | $17.38 | $24.55 | $91.20 |
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 $29.51 Median $29.51 Typical High $29.51 | Professional | 78 · Unplanned return to OR | $29.51 | $29.51 | $29.51 |
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· 12th of 51
$58.88
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.