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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $91.20 | $173.78 | $173.78 |
BCBS Idaho Setting Facility Modifier None Typical Low $46.77 Median $89.13 Typical High $109.65 | Facility | None | $46.77 | $89.13 | $109.65 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $213.80 | Professional | None (both parts) | $147.91 | $165.96 | $213.80 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $50.12 | Professional | 26 · Professional part | $34.67 | $39.81 | $50.12 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $125.89 Typical High $165.96 | Professional | TC · Technical part | $112.20 | $125.89 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $165.96 Typical High $263.03 | Facility | None | $61.66 | $165.96 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $79.43 | Professional | None (both parts) | $77.62 | $77.62 | $79.43 |
Moda Health Setting Facility Modifier None Typical Low $58.88 Median $141.25 Typical High $251.19 | Facility | None | $58.88 | $141.25 | $251.19 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $147.91 Typical High $173.78 | Professional | None (both parts) | $134.90 | $147.91 | $173.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $128.82 Median $158.49 Typical High $158.49 | Facility | None | $128.82 | $158.49 | $158.49 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $138.04 | $158.49 | $218.78 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $138.04 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $138.04 | $154.88 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $69.18 Median $75.86 Typical High $83.18 | Facility | None | $69.18 | $75.86 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $58.88 Typical High $120.23 | Professional | None (both parts) | $47.86 | $58.88 | $120.23 |
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 $102.33 Median $123.03 Typical High $151.36 | Professional | 78 · Unplanned return to OR | $102.33 | $123.03 | $151.36 |
Where Idaho sits
The same service costs 4.0 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· 10th of 51
$138
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.