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 Professional Modifier None Typical Low $83.18 Median $93.33 Typical High $109.65 | Professional | None | $83.18 | $93.33 | $109.65 |
BCBS Idaho Setting Facility Modifier None Typical Low $199.53 Median $309.03 Typical High $501.19 | Facility | None | $199.53 | $309.03 | $501.19 |
BCBS Idaho Setting Professional Modifier None Typical Low $89.13 Median $138.04 Typical High $147.91 | Professional | None | $89.13 | $138.04 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $144.54 | Professional | None | $60.26 | $60.26 | $144.54 |
Moda Health Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $158.49 | Facility | None | $109.65 | $109.65 | $158.49 |
Moda Health Setting Professional Modifier None Typical Low $83.18 Median $93.33 Typical High $165.96 | Professional | None | $83.18 | $93.33 | $165.96 |
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 $177.83 Median $186.21 Typical High $194.98 | Facility | None | $177.83 | $186.21 | $194.98 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $177.83 Median $186.21 Typical High $194.98 | Professional | None | $177.83 | $186.21 | $194.98 |
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 $89.13 Median $89.13 Typical High $165.96 | Professional | None | $89.13 | $89.13 | $165.96 |
Select Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $223.87 | Facility | None | $104.71 | $104.71 | $223.87 |
Select Health Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $165.96 | Professional | None | $85.11 | $104.71 | $165.96 |
United Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $107.15 | Professional | None | $72.44 | $72.44 | $107.15 |
2 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | AF · Specialist physician | $109.65 | $109.65 | $109.65 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $79.43 Median $79.43 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $79.43 | $79.43 | $154.88 |
Where Idaho sits
The same service costs 1.8 times more in Alaska than in New Mexico. 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· 7th of 51
$107
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.