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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
BCBS Idaho Setting Facility Modifier None Typical Low $26.30 Median $87.10 Typical High $128.82 | Facility | None | $26.30 | $87.10 | $128.82 |
BCBS Idaho Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $26.92 | Professional | None | $22.39 | $26.30 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $54.95 Typical High $102.33 | Facility | None | $20.42 | $54.95 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $35.48 | Professional | None | $34.67 | $34.67 | $35.48 |
Moda Health Setting Facility Modifier None Typical Low $26.30 Median $33.88 Typical High $51.29 | Facility | None | $26.30 | $33.88 | $51.29 |
Moda Health Setting Professional Modifier None Typical Low $26.30 Median $31.62 Typical High $51.29 | Professional | None | $26.30 | $31.62 | $51.29 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $26.30 Median $38.90 Typical High $85.11 | Facility | None | $26.30 | $38.90 | $85.11 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $26.30 Median $38.90 Typical High $85.11 | Professional | None | $26.30 | $38.90 | $85.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $46.77 Median $77.62 Typical High $114.82 | Facility | None | $46.77 | $77.62 | $114.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $27.54 | Professional | None | $22.39 | $22.39 | $27.54 |
Select Health Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $104.71 | Facility | None | $26.30 | $26.30 | $104.71 |
United Setting Professional Modifier None Typical Low $15.85 Median $19.50 Typical High $26.30 | Professional | None | $15.85 | $19.50 | $26.30 |
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 $18.20 Median $18.62 Typical High $18.62 | Professional | 78 · Unplanned return to OR | $18.20 | $18.62 | $18.62 |
Where Idaho sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 27th of 51
$33.11
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.