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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
BCBS Idaho Setting Facility Modifier None Typical Low $17.78 Median $44.67 Typical High $85.11 | Facility | None | $17.78 | $44.67 | $85.11 |
BCBS Idaho Setting Professional Modifier None Typical Low $15.14 Median $17.78 Typical High $18.20 | Professional | None | $15.14 | $17.78 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $37.15 Typical High $70.79 | Facility | None | $14.13 | $37.15 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Moda Health Setting Facility Modifier None Typical Low $17.78 Median $23.44 Typical High $34.67 | Facility | None | $17.78 | $23.44 | $34.67 |
Moda Health Setting Professional Modifier None Typical Low $17.78 Median $21.38 Typical High $34.67 | Professional | None | $17.78 | $21.38 | $34.67 |
Molina Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $15.49 | Professional | None | $13.18 | $13.18 | $15.49 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $17.78 Median $26.92 Typical High $34.67 | Facility | None | $17.78 | $26.92 | $34.67 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $17.78 Median $20.89 Typical High $34.67 | Professional | None | $17.78 | $20.89 | $34.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $26.92 Median $42.66 Typical High $64.57 | Facility | None | $26.92 | $42.66 | $64.57 |
Regence BlueShield Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $19.05 | Professional | None | $15.14 | $15.14 | $19.05 |
Select Health Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $69.18 | Facility | None | $17.78 | $17.78 | $69.18 |
United Setting Professional Modifier None Typical Low $10.72 Median $12.88 Typical High $25.12 | Professional | None | $10.72 | $12.88 | $25.12 |
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 $12.59 Median $12.88 Typical High $12.88 | Professional | 78 · Unplanned return to OR | $12.59 | $12.88 | $12.88 |
Where Idaho sits
The same service costs 10.2 times more in Texas than in New Jersey. 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· 20th of 51
$26.30
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.