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 $26.30 Median $26.30 Typical High $30.20 | Facility | None | $26.30 | $26.30 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
BCBS Idaho Setting Facility Modifier None Typical Low $13.18 Median $28.18 Typical High $52.48 | Facility | None | $13.18 | $28.18 | $52.48 |
BCBS Idaho Setting Professional Modifier None Typical Low $12.59 Median $14.79 Typical High $14.79 | Professional | None | $12.59 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $30.20 Typical High $57.54 | Facility | None | $11.48 | $30.20 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
Moda Health Setting Facility Modifier None Typical Low $13.80 Median $14.79 Typical High $30.20 | Facility | None | $13.80 | $14.79 | $30.20 |
Moda Health Setting Professional Modifier None Typical Low $14.79 Median $15.49 Typical High $28.84 | Professional | None | $14.79 | $15.49 | $28.84 |
Molina Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $12.59 | Professional | None | $10.72 | $10.72 | $12.59 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $14.79 Median $21.88 Typical High $28.18 | Facility | None | $14.79 | $21.88 | $28.18 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $14.79 Median $16.98 Typical High $28.18 | Professional | None | $14.79 | $16.98 | $28.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $20.42 Median $30.20 Typical High $52.48 | Facility | None | $20.42 | $30.20 | $52.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $15.49 | Professional | None | $12.59 | $12.59 | $15.49 |
Select Health Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $27.54 | Facility | None | $14.79 | $14.79 | $27.54 |
United Setting Professional Modifier None Typical Low $5.13 Median $8.71 Typical High $14.79 | Professional | None | $5.13 | $8.71 | $14.79 |
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 $10.23 Median $10.47 Typical High $10.47 | Professional | 78 · Unplanned return to OR | $10.23 | $10.47 | $10.47 |
Where Idaho sits
The same service costs 4.5 times more in Alaska than in Delaware. 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· 21st of 51
$16.98
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.