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 $128.82 Median $144.54 Typical High $169.82 | Facility | None | $128.82 | $144.54 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $144.54 Typical High $169.82 | Professional | None | $125.89 | $144.54 | $169.82 |
BCBS Idaho Setting Facility Modifier None Typical Low $257.04 Median $323.59 Typical High $501.19 | Facility | None | $257.04 | $323.59 | $501.19 |
BCBS Idaho Setting Professional Modifier None Typical Low $117.49 Median $181.97 Typical High $223.87 | Professional | None | $117.49 | $181.97 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $223.87 Typical High $223.87 | Professional | None | $100.00 | $223.87 | $223.87 |
Moda Health Setting Facility Modifier None Typical Low $144.54 Median $169.82 Typical High $190.55 | Facility | None | $144.54 | $169.82 | $190.55 |
Moda Health Setting Professional Modifier None Typical Low $128.82 Median $144.54 Typical High $218.78 | Professional | None | $128.82 | $144.54 | $218.78 |
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 $239.88 Median $239.88 Typical High $295.12 | Facility | None | $239.88 | $239.88 | $295.12 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $234.42 Median $239.88 Typical High $295.12 | Professional | None | $234.42 | $239.88 | $295.12 |
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 $117.49 Median $134.90 Typical High $218.78 | Professional | None | $117.49 | $134.90 | $218.78 |
Select Health Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $158.49 | Facility | None | $154.88 | $154.88 | $158.49 |
Select Health Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $218.78 | Professional | None | $112.20 | $141.25 | $218.78 |
United Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $141.25 | Professional | None | $100.00 | $104.71 | $141.25 |
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 $120.23 Median $120.23 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $120.23 | $120.23 | $208.93 |
Where Idaho sits
The same service costs 1.7 times more in North Dakota than in Ohio. 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· 6th of 51
$170
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.