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 $24.55 Median $36.31 Typical High $41.69 | Facility | None | $24.55 | $36.31 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $39.81 Typical High $39.81 | Professional | None | $18.20 | $39.81 | $39.81 |
BCBS Idaho Setting Facility Modifier None Typical Low $20.42 Median $60.26 Typical High $117.49 | Facility | None | $20.42 | $60.26 | $117.49 |
BCBS Idaho Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $20.89 | Professional | None | $17.38 | $20.42 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $41.69 Typical High $79.43 | Facility | None | $15.85 | $41.69 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Moda Health Setting Facility Modifier None Typical Low $20.42 Median $63.10 Typical High $95.50 | Facility | None | $20.42 | $63.10 | $95.50 |
Moda Health Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $39.81 | Professional | None | $20.42 | $24.55 | $39.81 |
Molina Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $17.38 | Professional | None | $14.79 | $14.79 | $17.38 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $20.42 Median $30.20 Typical High $38.90 | Facility | None | $20.42 | $30.20 | $38.90 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $20.42 Median $23.44 Typical High $38.90 | Professional | None | $20.42 | $23.44 | $38.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $30.20 Median $47.86 Typical High $72.44 | Facility | None | $30.20 | $47.86 | $72.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $21.38 | Professional | None | $17.38 | $17.38 | $21.38 |
Select Health Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $89.13 | Facility | None | $20.42 | $20.42 | $89.13 |
United Setting Professional Modifier None Typical Low $12.02 Median $17.38 Typical High $28.18 | Professional | None | $12.02 | $17.38 | $28.18 |
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 $14.13 Median $14.45 Typical High $14.45 | Professional | 78 · Unplanned return to OR | $14.13 | $14.45 | $14.45 |
Where Idaho sits
The same service costs 4.6 times more in Vermont than in Illinois. 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· 19th of 51
$30.20
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.