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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $83.18 Typical High $83.18 | Professional | None | $39.81 | $83.18 | $83.18 |
BCBS Idaho Setting Facility Modifier None Typical Low $42.66 Median $107.15 Typical High $181.97 | Facility | None | $42.66 | $107.15 | $181.97 |
BCBS Idaho Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $43.65 | Professional | None | $36.31 | $42.66 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $89.13 Typical High $165.96 | Facility | None | $33.11 | $89.13 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $31.62 Typical High $70.79 | Professional | None | $21.38 | $31.62 | $70.79 |
Moda Health Setting Facility Modifier None Typical Low $42.66 Median $54.95 Typical High $83.18 | Facility | None | $42.66 | $54.95 | $83.18 |
Moda Health Setting Professional Modifier None Typical Low $42.66 Median $51.29 Typical High $83.18 | Professional | None | $42.66 | $51.29 | $83.18 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $36.31 | Professional | None | $30.90 | $30.90 | $36.31 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $42.66 Median $63.10 Typical High $81.28 | Facility | None | $42.66 | $63.10 | $81.28 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $42.66 Median $63.10 Typical High $81.28 | Professional | None | $42.66 | $63.10 | $81.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $63.10 Median $95.50 Typical High $151.36 | Facility | None | $63.10 | $95.50 | $151.36 |
Regence BlueShield Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $44.67 | Professional | None | $36.31 | $36.31 | $44.67 |
Select Health Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $141.25 | Facility | None | $42.66 | $42.66 | $141.25 |
Select Health Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $60.26 | Professional | None | $42.66 | $42.66 | $60.26 |
United Setting Professional Modifier None Typical Low $25.70 Median $29.51 Typical High $70.79 | Professional | None | $25.70 | $29.51 | $70.79 |
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 $29.51 Median $30.20 Typical High $30.20 | Professional | 78 · Unplanned return to OR | $29.51 | $30.20 | $30.20 |
Where Idaho sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 18th of 51
$52.48
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.