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 $257.04 Median $331.13 Typical High $416.87 | Facility | None | $257.04 | $331.13 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $281.84 Typical High $281.84 | Professional | None | $147.91 | $281.84 | $281.84 |
BCBS Idaho Setting Facility Modifier None Typical Low $144.54 Median $338.84 Typical High $676.08 | Facility | None | $144.54 | $338.84 | $676.08 |
BCBS Idaho Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $147.91 | Professional | None | $123.03 | $144.54 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $302.00 Typical High $562.34 | Facility | None | $112.20 | $302.00 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Moda Health Setting Facility Modifier None Typical Low $134.90 Median $213.80 Typical High $457.09 | Facility | None | $134.90 | $213.80 | $457.09 |
Moda Health Setting Professional Modifier None Typical Low $144.54 Median $173.78 Typical High $281.84 | Professional | None | $144.54 | $173.78 | $281.84 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $123.03 | Professional | None | $104.71 | $104.71 | $123.03 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $144.54 Median $213.80 Typical High $275.42 | Facility | None | $144.54 | $213.80 | $275.42 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $144.54 Median $165.96 Typical High $275.42 | Professional | None | $144.54 | $165.96 | $275.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $213.80 Median $338.84 Typical High $512.86 | Facility | None | $213.80 | $338.84 | $512.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $151.36 | Professional | None | $123.03 | $123.03 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $371.54 | Facility | None | $144.54 | $144.54 | $371.54 |
United Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $199.53 | Professional | None | $87.10 | $107.15 | $199.53 |
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 $100.00 Median $102.33 Typical High $102.33 | Professional | 78 · Unplanned return to OR | $100.00 | $102.33 | $102.33 |
Where Idaho sits
The same service costs 5.6 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
$214
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.