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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $52.48 Typical High $52.48 | Professional | None | $25.12 | $52.48 | $52.48 |
BCBS Idaho Setting Facility Modifier None Typical Low $26.92 Median $67.61 Typical High $112.20 | Facility | None | $26.92 | $67.61 | $112.20 |
BCBS Idaho Setting Professional Modifier None Typical Low $22.91 Median $26.92 Typical High $27.54 | Professional | None | $22.91 | $26.92 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $56.23 Typical High $104.71 | Facility | None | $20.89 | $56.23 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $19.95 Typical High $44.67 | Professional | None | $12.30 | $19.95 | $44.67 |
Moda Health Setting Facility Modifier None Typical Low $26.92 Median $34.67 Typical High $52.48 | Facility | None | $26.92 | $34.67 | $52.48 |
Moda Health Setting Professional Modifier None Typical Low $26.92 Median $32.36 Typical High $52.48 | Professional | None | $26.92 | $32.36 | $52.48 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | None | $19.95 | $19.95 | $23.44 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $26.92 Median $40.74 Typical High $51.29 | Facility | None | $26.92 | $40.74 | $51.29 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $26.92 Median $40.74 Typical High $51.29 | Professional | None | $26.92 | $40.74 | $51.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $40.74 Median $60.26 Typical High $97.72 | Facility | None | $40.74 | $60.26 | $97.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $28.18 | Professional | None | $22.91 | $22.91 | $28.18 |
Select Health Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $87.10 | Facility | None | $26.92 | $26.92 | $87.10 |
Select Health Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $38.02 | Professional | None | $26.92 | $26.92 | $38.02 |
United Setting Professional Modifier None Typical Low $11.22 Median $12.02 Typical High $43.65 | Professional | None | $11.22 | $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 $18.62 Median $19.05 Typical High $19.05 | Professional | 78 · Unplanned return to OR | $18.62 | $19.05 | $19.05 |
Where Idaho sits
The same service costs 5.4 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· 12th of 51
$33.11
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.