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 $398.11 Median $398.11 Typical High $630.96 | Facility | None | $398.11 | $398.11 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $426.58 Typical High $426.58 | Professional | None | $213.80 | $426.58 | $426.58 |
BCBS Idaho Setting Facility Modifier None Typical Low $218.78 Median $389.05 Typical High $776.25 | Facility | None | $218.78 | $389.05 | $776.25 |
BCBS Idaho Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $223.87 | Professional | None | $186.21 | $218.78 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $457.09 Typical High $851.14 | Facility | None | $169.82 | $457.09 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $389.05 | Professional | None | $131.83 | $162.18 | $389.05 |
Moda Health Setting Facility Modifier None Typical Low $218.78 Median $398.11 Typical High $1,412.54 | Facility | None | $218.78 | $398.11 | $1,412.54 |
Moda Health Setting Professional Modifier None Typical Low $218.78 Median $263.03 Typical High $426.58 | Professional | None | $218.78 | $263.03 | $426.58 |
Molina Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $190.55 | Professional | None | $158.49 | $158.49 | $190.55 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $218.78 Median $323.59 Typical High $416.87 | Facility | None | $218.78 | $323.59 | $416.87 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $218.78 Median $323.59 Typical High $416.87 | Professional | None | $218.78 | $323.59 | $416.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $323.59 Median $512.86 Typical High $776.25 | Facility | None | $323.59 | $512.86 | $776.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $229.09 | Professional | None | $186.21 | $186.21 | $229.09 |
Select Health Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $281.84 | Facility | None | $218.78 | $218.78 | $281.84 |
Select Health Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $309.03 | Professional | None | $218.78 | $218.78 | $309.03 |
United Setting Professional Modifier None Typical Low $91.20 Median $123.03 Typical High $467.74 | Professional | None | $91.20 | $123.03 | $467.74 |
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 $151.36 Median $154.88 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $151.36 | $154.88 | $154.88 |
Where Idaho sits
The same service costs 3.6 times more in Alaska than in Oklahoma. 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· 14th of 51
$251
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.