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 $162.18 Median $169.82 Typical High $275.42 | Facility | None | $162.18 | $169.82 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $169.82 | Professional | None | $141.25 | $141.25 | $169.82 |
BCBS Idaho Setting Facility Modifier None Typical Low $138.04 Median $147.91 Typical High $436.52 | Facility | None | $138.04 | $147.91 | $436.52 |
BCBS Idaho Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $144.54 | Professional | None | $120.23 | $141.25 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $112.20 Typical High $263.03 | Professional | None | $66.07 | $112.20 | $263.03 |
Moda Health Setting Facility Modifier None Typical Low $141.25 Median $144.54 Typical High $281.84 | Facility | None | $141.25 | $144.54 | $281.84 |
Moda Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $169.82 | Professional | None | $141.25 | $141.25 | $169.82 |
Moda Health Setting Professional Modifier QW · Waived lab test Typical Low $141.25 Median $151.36 Typical High $169.82 | Professional | QW · Waived lab test | $141.25 | $151.36 | $169.82 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $104.71 Typical High $123.03 | Professional | None | $30.20 | $104.71 | $123.03 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $141.25 Median $213.80 Typical High $269.15 | Facility | None | $141.25 | $213.80 | $269.15 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $141.25 Median $213.80 Typical High $269.15 | Professional | None | $141.25 | $213.80 | $269.15 |
MountainHealth Co-op Setting Professional Modifier QW · Waived lab test Typical Low $141.25 Median $151.36 Typical High $213.80 | Professional | QW · Waived lab test | $141.25 | $151.36 | $213.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $213.80 Median $323.59 Typical High $512.86 | Facility | None | $213.80 | $323.59 | $512.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $151.36 | Professional | None | $120.23 | $120.23 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $234.42 | Facility | None | $141.25 | $141.25 | $234.42 |
Select Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $204.17 | Professional | None | $141.25 | $141.25 | $204.17 |
United Setting Professional Modifier None Typical Low $63.10 Median $66.07 Typical High $223.87 | Professional | None | $63.10 | $66.07 | $223.87 |
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 $100.00 Median $102.33 Typical High $102.33 | Professional | 78 · Unplanned return to OR | $100.00 | $102.33 | $102.33 |
Where Idaho sits
The same service costs 4.3 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· 31st of 51
$141
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.