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 $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
BCBS Idaho Setting Facility Modifier None Typical Low $21.38 Median $47.86 Typical High $87.10 | Facility | None | $21.38 | $47.86 | $87.10 |
BCBS Idaho Setting Professional Modifier None Typical Low $20.42 Median $23.99 Typical High $24.55 | Professional | None | $20.42 | $23.99 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $50.12 Typical High $93.33 | Facility | None | $18.62 | $50.12 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Moda Health Setting Facility Modifier None Typical Low $22.39 Median $23.99 Typical High $46.77 | Facility | None | $22.39 | $23.99 | $46.77 |
Moda Health Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $46.77 | Professional | None | $23.99 | $25.12 | $46.77 |
Molina Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $20.89 | Professional | None | $17.78 | $17.78 | $20.89 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $23.99 Median $36.31 Typical High $45.71 | Facility | None | $23.99 | $36.31 | $45.71 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $23.99 Median $27.54 Typical High $45.71 | Professional | None | $23.99 | $27.54 | $45.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $36.31 Median $50.12 Typical High $87.10 | Facility | None | $36.31 | $50.12 | $87.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $25.12 | Professional | None | $20.42 | $20.42 | $25.12 |
Select Health Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $48.98 | Facility | None | $23.99 | $23.99 | $48.98 |
United Setting Professional Modifier None Typical Low $8.91 Median $14.45 Typical High $26.30 | Professional | None | $8.91 | $14.45 | $26.30 |
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 $16.98 Median $16.98 Typical High $16.98 | Professional | 78 · Unplanned return to OR | $16.98 | $16.98 | $16.98 |
Where Idaho sits
The same service costs 8.9 times more in Texas than in Kentucky. 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
$28.18
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.