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 $251.19 Median $323.59 Typical High $323.59 | Facility | None | $251.19 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $275.42 Typical High $275.42 | Professional | None | $154.88 | $275.42 | $275.42 |
BCBS Idaho Setting Facility Modifier None Typical Low $141.25 Median $389.05 Typical High $776.25 | Facility | None | $141.25 | $389.05 | $776.25 |
BCBS Idaho Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $144.54 | Professional | None | $120.23 | $141.25 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $295.12 Typical High $549.54 | Facility | None | $109.65 | $295.12 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Moda Health Setting Facility Modifier None Typical Low $141.25 Median $239.88 Typical High $323.59 | Facility | None | $141.25 | $239.88 | $323.59 |
Moda Health Setting Professional Modifier None Typical Low $141.25 Median $169.82 Typical High $275.42 | Professional | None | $141.25 | $169.82 | $275.42 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | None | $102.33 | $102.33 | $120.23 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $141.25 Median $208.93 Typical High $269.15 | Facility | None | $141.25 | $208.93 | $269.15 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $269.15 | Professional | None | $141.25 | $162.18 | $269.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $208.93 Median $331.13 Typical High $501.19 | Facility | None | $208.93 | $331.13 | $501.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $147.91 | Professional | None | $120.23 | $120.23 | $147.91 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $407.38 | Facility | None | $141.25 | $141.25 | $407.38 |
United Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $194.98 | Professional | None | $85.11 | $120.23 | $194.98 |
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 $97.72 Median $100.00 Typical High $100.00 | Professional | 78 · Unplanned return to OR | $97.72 | $100.00 | $100.00 |
Where Idaho sits
The same service costs 6.0 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· 21st of 51
$209
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.