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 $208.93 Median $269.15 Typical High $269.15 | Facility | None | $208.93 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $229.09 Typical High $229.09 | Professional | None | $138.04 | $229.09 | $229.09 |
BCBS Idaho Setting Facility Modifier None Typical Low $117.49 Median $288.40 Typical High $616.60 | Facility | None | $117.49 | $288.40 | $616.60 |
BCBS Idaho Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $117.49 | Professional | None | $100.00 | $117.49 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $239.88 Typical High $457.09 | Facility | None | $91.20 | $239.88 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Moda Health Setting Facility Modifier None Typical Low $117.49 Median $204.17 Typical High $269.15 | Facility | None | $117.49 | $204.17 | $269.15 |
Moda Health Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $229.09 | Professional | None | $117.49 | $141.25 | $229.09 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | None | $85.11 | $85.11 | $100.00 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $117.49 Median $173.78 Typical High $223.87 | Facility | None | $117.49 | $173.78 | $223.87 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $117.49 Median $134.90 Typical High $223.87 | Professional | None | $117.49 | $134.90 | $223.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $173.78 Median $275.42 Typical High $416.87 | Facility | None | $173.78 | $275.42 | $416.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $123.03 | Professional | None | $100.00 | $100.00 | $123.03 |
Select Health Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $338.84 | Facility | None | $117.49 | $117.49 | $338.84 |
United Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $162.18 | Professional | None | $69.18 | $100.00 | $162.18 |
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 $81.28 Median $83.18 Typical High $83.18 | Professional | 78 · Unplanned return to OR | $81.28 | $83.18 | $83.18 |
Where Idaho sits
The same service costs 6.3 times more in Alaska than in Alabama. 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
$174
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.