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 $125.89 Median $162.18 Typical High $169.82 | Facility | None | $125.89 | $162.18 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $138.04 Typical High $144.54 | Professional | None | $72.44 | $138.04 | $144.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $70.79 Median $134.90 Typical High $251.19 | Facility | None | $70.79 | $134.90 | $251.19 |
BCBS Idaho Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $70.79 | Professional | None | $60.26 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $144.54 Typical High $275.42 | Facility | None | $54.95 | $144.54 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $52.48 Typical High $128.82 | Professional | None | $36.31 | $52.48 | $128.82 |
Moda Health Setting Facility Modifier None Typical Low $70.79 Median $158.49 Typical High $436.52 | Facility | None | $70.79 | $158.49 | $436.52 |
Moda Health Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $144.54 | Professional | None | $70.79 | $85.11 | $144.54 |
Moda Health Setting Professional Modifier QW · Waived lab test Typical Low $70.79 Median $74.13 Typical High $87.10 | Professional | QW · Waived lab test | $70.79 | $74.13 | $87.10 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $60.26 | Professional | None | $51.29 | $51.29 | $60.26 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $70.79 Median $104.71 Typical High $131.83 | Facility | None | $70.79 | $104.71 | $131.83 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $70.79 Median $104.71 Typical High $131.83 | Professional | None | $70.79 | $104.71 | $131.83 |
MountainHealth Co-op Setting Professional Modifier QW · Waived lab test Typical Low $70.79 Median $74.13 Typical High $104.71 | Professional | QW · Waived lab test | $70.79 | $74.13 | $104.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $104.71 Median $165.96 Typical High $251.19 | Facility | None | $104.71 | $165.96 | $251.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $74.13 | Professional | None | $60.26 | $60.26 | $74.13 |
Select Health Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $83.18 | Facility | None | $70.79 | $70.79 | $83.18 |
Select Health Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $100.00 | Professional | None | $70.79 | $70.79 | $100.00 |
United Setting Professional Modifier None Typical Low $29.51 Median $36.31 Typical High $138.04 | Professional | None | $29.51 | $36.31 | $138.04 |
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 $48.98 Median $50.12 Typical High $50.12 | Professional | 78 · Unplanned return to OR | $48.98 | $50.12 | $50.12 |
Where Idaho sits
The same service costs 4.0 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· 15th of 51
$85.11
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.