How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $75.86 Median $83.18 Typical High $83.18 | Professional | None | $75.86 | $83.18 | $83.18 |
BCBS Idaho Setting Facility Modifier None Typical Low $87.10 Median $120.23 Typical High $281.84 | Facility | None | $87.10 | $120.23 | $281.84 |
BCBS Idaho Setting Professional Modifier None Typical Low $52.48 Median $70.79 Typical High $81.28 | Professional | None | $52.48 | $70.79 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $87.10 | Professional | None | $36.31 | $36.31 | $87.10 |
Moda Health Setting Facility Modifier None Typical Low $75.86 Median $83.18 Typical High $117.49 | Facility | None | $75.86 | $83.18 | $117.49 |
Moda Health Setting Professional Modifier None Typical Low $77.62 Median $83.18 Typical High $100.00 | Professional | None | $77.62 | $83.18 | $100.00 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $109.65 | Facility | None | $93.33 | $93.33 | $109.65 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $91.20 Median $93.33 Typical High $109.65 | Professional | None | $91.20 | $93.33 | $109.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $87.10 Median $93.33 Typical High $141.25 | Facility | None | $87.10 | $93.33 | $141.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $52.48 Median $53.70 Typical High $100.00 | Professional | None | $52.48 | $53.70 | $100.00 |
Select Health Setting Facility Modifier None Typical Low $57.54 Median $58.88 Typical High $190.55 | Facility | None | $57.54 | $58.88 | $190.55 |
Select Health Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $91.20 | Professional | None | $47.86 | $56.23 | $91.20 |
United Setting Professional Modifier None Typical Low $64.57 Median $83.18 Typical High $120.23 | Professional | None | $64.57 | $83.18 | $120.23 |
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 $46.77 Median $46.77 Typical High $81.28 | Professional | 78 · Unplanned return to OR | $46.77 | $46.77 | $81.28 |
Where Idaho sits
The same service costs 3.4 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· 5th of 51
$77.62
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.