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 $72.44 Median $93.33 Typical High $93.33 | Facility | None | $72.44 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $79.43 Typical High $79.43 | Professional | None | $36.31 | $79.43 | $79.43 |
BCBS Idaho Setting Facility Modifier None Typical Low $40.74 Median $83.18 Typical High $165.96 | Facility | None | $40.74 | $83.18 | $165.96 |
BCBS Idaho Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $41.69 | Professional | None | $34.67 | $40.74 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $85.11 Typical High $158.49 | Facility | None | $31.62 | $85.11 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $30.20 Typical High $67.61 | Professional | None | $20.42 | $30.20 | $67.61 |
Moda Health Setting Facility Modifier None Typical Low $40.74 Median $93.33 Typical High $169.82 | Facility | None | $40.74 | $93.33 | $169.82 |
Moda Health Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $79.43 | Professional | None | $39.81 | $44.67 | $79.43 |
Molina Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $34.67 | Professional | None | $29.51 | $29.51 | $34.67 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $40.74 Median $60.26 Typical High $77.62 | Facility | None | $40.74 | $60.26 | $77.62 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $40.74 Median $60.26 Typical High $77.62 | Professional | None | $40.74 | $60.26 | $77.62 |
Regence BlueShield Setting Facility Modifier None Typical Low $60.26 Median $95.50 Typical High $144.54 | Facility | None | $60.26 | $95.50 | $144.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $42.66 | Professional | None | $34.67 | $34.67 | $42.66 |
Select Health Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $52.48 | Facility | None | $40.74 | $40.74 | $52.48 |
Select Health Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $57.54 | Professional | None | $40.74 | $40.74 | $57.54 |
United Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $75.86 | Professional | None | $16.98 | $19.95 | $75.86 |
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 $28.18 Median $28.84 Typical High $28.84 | Professional | 78 · Unplanned return to OR | $28.18 | $28.84 | $28.84 |
Where Idaho sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 15th of 51
$46.77
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.