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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $85.11 Typical High $85.11 | Professional | None | $40.74 | $85.11 | $85.11 |
BCBS Idaho Setting Facility Modifier None Typical Low $51.29 Median $117.49 Typical High $223.87 | Facility | None | $51.29 | $117.49 | $223.87 |
BCBS Idaho Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $44.67 | Professional | None | $37.15 | $43.65 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $91.20 Typical High $169.82 | Facility | None | $33.88 | $91.20 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $32.36 Typical High $74.13 | Professional | None | $24.55 | $32.36 | $74.13 |
Moda Health Setting Facility Modifier None Typical Low $43.65 Median $56.23 Typical High $85.11 | Facility | None | $43.65 | $56.23 | $85.11 |
Moda Health Setting Professional Modifier None Typical Low $43.65 Median $52.48 Typical High $85.11 | Professional | None | $43.65 | $52.48 | $85.11 |
Molina Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | None | $32.36 | $32.36 | $38.02 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $43.65 Median $66.07 Typical High $83.18 | Facility | None | $43.65 | $66.07 | $83.18 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $43.65 Median $66.07 Typical High $83.18 | Professional | None | $43.65 | $66.07 | $83.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $66.07 Median $104.71 Typical High $158.49 | Facility | None | $66.07 | $104.71 | $158.49 |
Regence BlueShield Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $45.71 | Professional | None | $37.15 | $37.15 | $45.71 |
Select Health Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $173.78 | Facility | None | $43.65 | $43.65 | $173.78 |
Select Health Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $61.66 | Professional | None | $43.65 | $43.65 | $61.66 |
United Setting Professional Modifier None Typical Low $18.20 Median $23.99 Typical High $87.10 | Professional | None | $18.20 | $23.99 | $87.10 |
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 $30.90 Median $30.90 Typical High $30.90 | Professional | 78 · Unplanned return to OR | $30.90 | $30.90 | $30.90 |
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· 11th of 51
$56.23
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.