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 $467.74 Median $602.56 Typical High $602.56 | Facility | None | $467.74 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $501.19 Typical High $501.19 | Professional | None | $239.88 | $501.19 | $501.19 |
BCBS Idaho Setting Facility Modifier None Typical Low $257.04 Median $575.44 Typical High $933.25 | Facility | None | $257.04 | $575.44 | $933.25 |
BCBS Idaho Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $263.03 | Professional | None | $218.78 | $257.04 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $537.03 Typical High $1,000.00 | Facility | None | $199.53 | $537.03 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $190.55 Typical High $478.63 | Professional | None | $158.49 | $190.55 | $478.63 |
Moda Health Setting Facility Modifier None Typical Low $257.04 Median $398.11 Typical High $602.56 | Facility | None | $257.04 | $398.11 | $602.56 |
Moda Health Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $501.19 | Professional | None | $257.04 | $309.03 | $501.19 |
Molina Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $223.87 | Professional | None | $190.55 | $190.55 | $223.87 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $257.04 Median $389.05 Typical High $489.78 | Facility | None | $257.04 | $389.05 | $489.78 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $257.04 Median $389.05 Typical High $489.78 | Professional | None | $257.04 | $389.05 | $489.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $389.05 Median $575.44 Typical High $933.25 | Facility | None | $389.05 | $575.44 | $933.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $269.15 | Professional | None | $218.78 | $218.78 | $269.15 |
Select Health Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $602.56 | Facility | None | $257.04 | $257.04 | $602.56 |
Select Health Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $363.08 | Professional | None | $257.04 | $257.04 | $363.08 |
United Setting Professional Modifier None Typical Low $107.15 Median $154.88 Typical High $302.00 | Professional | None | $107.15 | $154.88 | $302.00 |
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 $181.97 Median $181.97 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $181.97 | $181.97 | $181.97 |
Where Idaho sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 17th of 51
$309
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.