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 $67.61 Median $75.86 Typical High $89.13 | Facility | None | $67.61 | $75.86 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $75.86 | Professional | None | $56.23 | $63.10 | $75.86 |
BCBS Idaho Setting Facility Modifier None Typical Low $138.04 Median $309.03 Typical High $501.19 | Facility | None | $138.04 | $309.03 | $501.19 |
BCBS Idaho Setting Professional Modifier None Typical Low $61.66 Median $97.72 Typical High $117.49 | Professional | None | $61.66 | $97.72 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $39.81 Typical High $102.33 | Professional | None | $36.31 | $39.81 | $102.33 |
Moda Health Setting Facility Modifier None Typical Low $67.61 Median $77.62 Typical High $181.97 | Facility | None | $67.61 | $77.62 | $181.97 |
Moda Health Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $117.49 | Professional | None | $56.23 | $63.10 | $117.49 |
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 $128.82 Median $128.82 Typical High $158.49 | Facility | None | $128.82 | $128.82 | $158.49 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $125.89 Median $128.82 Typical High $158.49 | Professional | None | $125.89 | $128.82 | $158.49 |
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 $61.66 Median $70.79 Typical High $117.49 | Professional | None | $61.66 | $70.79 | $117.49 |
Select Health Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $85.11 | Facility | None | $83.18 | $83.18 | $85.11 |
Select Health Setting Professional Modifier None Typical Low $58.88 Median $75.86 Typical High $114.82 | Professional | None | $58.88 | $75.86 | $114.82 |
United Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $75.86 | Professional | None | $53.70 | $56.23 | $75.86 |
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 $63.10 Median $63.10 Typical High $109.65 | Professional | 78 · Unplanned return to OR | $63.10 | $63.10 | $109.65 |
Where Idaho sits
The same service costs 1.9 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· 13th of 51
$72.44
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.