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 $165.96 Median $173.78 Typical High $229.09 | Professional | None | $165.96 | $173.78 | $229.09 |
BCBS Idaho Setting Facility Modifier None Typical Low $177.83 Median $302.00 Typical High $501.19 | Facility | None | $177.83 | $302.00 | $501.19 |
BCBS Idaho Setting Professional Modifier None Typical Low $169.82 Median $181.97 Typical High $229.09 | Professional | None | $169.82 | $181.97 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $204.17 Typical High $269.15 | Professional | None | $158.49 | $204.17 | $269.15 |
Moda Health Setting Facility Modifier None Typical Low $173.78 Median $199.53 Typical High $251.19 | Facility | None | $173.78 | $199.53 | $251.19 |
Moda Health Setting Professional Modifier None Typical Low $173.78 Median $213.80 Typical High $275.42 | Professional | None | $173.78 | $213.80 | $275.42 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $162.18 | Professional | None | $33.11 | $33.11 | $162.18 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $309.03 | Facility | None | $208.93 | $208.93 | $309.03 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $204.17 Median $208.93 Typical High $309.03 | Professional | None | $204.17 | $208.93 | $309.03 |
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 $169.82 Median $213.80 Typical High $275.42 | Professional | None | $169.82 | $213.80 | $275.42 |
Select Health Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $199.53 | Facility | None | $162.18 | $162.18 | $199.53 |
Select Health Setting Professional Modifier None Typical Low $97.72 Median $125.89 Typical High $190.55 | Professional | None | $97.72 | $125.89 | $190.55 |
United Setting Professional Modifier None Typical Low $134.90 Median $186.21 Typical High $281.84 | Professional | None | $134.90 | $186.21 | $281.84 |
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 $128.82 Median $128.82 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $128.82 | $128.82 | $177.83 |
Where Idaho sits
The same service costs 2.4 times more in Alaska 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· 6th of 51
$214
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.