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 $144.54 Median $162.18 Typical High $208.93 | Facility | None | $144.54 | $162.18 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $190.55 | Professional | None | $141.25 | $162.18 | $190.55 |
BCBS Idaho Setting Facility Modifier None Typical Low $181.97 Median $309.03 Typical High $501.19 | Facility | None | $181.97 | $309.03 | $501.19 |
BCBS Idaho Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $275.42 | Professional | None | $208.93 | $245.47 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $288.40 | Professional | None | $60.26 | $60.26 | $288.40 |
Moda Health Setting Facility Modifier None Typical Low $144.54 Median $190.55 Typical High $354.81 | Facility | None | $144.54 | $190.55 | $354.81 |
Moda Health Setting Professional Modifier None Typical Low $144.54 Median $162.18 Typical High $302.00 | Professional | None | $144.54 | $162.18 | $302.00 |
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 $295.12 Median $295.12 Typical High $363.08 | Facility | None | $295.12 | $295.12 | $363.08 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $281.84 Median $295.12 Typical High $363.08 | Professional | None | $281.84 | $295.12 | $363.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $257.04 Median $371.54 Typical High $524.81 | Facility | None | $257.04 | $371.54 | $524.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $239.88 Median $269.15 Typical High $338.84 | Professional | None | $239.88 | $269.15 | $338.84 |
Select Health Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $199.53 | Facility | None | $194.98 | $194.98 | $199.53 |
Select Health Setting Professional Modifier None Typical Low $141.25 Median $177.83 Typical High $269.15 | Professional | None | $141.25 | $177.83 | $269.15 |
United Setting Professional Modifier None Typical Low $141.25 Median $144.54 Typical High $194.98 | Professional | None | $141.25 | $144.54 | $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 $154.88 Median $154.88 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $154.88 | $154.88 | $295.12 |
Where Idaho sits
The same service costs 2.2 times more in North Dakota than in Kentucky. 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· 5th of 51
$219
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.