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 $144.54 Median $186.21 Typical High $288.40 | Facility | None | $144.54 | $186.21 | $288.40 |
BCBS Idaho Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $144.54 | Professional | None | $77.62 | $112.20 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $141.25 | Professional | None | $60.26 | $60.26 | $141.25 |
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 $151.36 | Professional | None | $83.18 | $93.33 | $151.36 |
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 $147.91 Median $147.91 Typical High $190.55 | Facility | None | $147.91 | $147.91 | $190.55 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $144.54 Median $147.91 Typical High $190.55 | Professional | None | $144.54 | $147.91 | $190.55 |
Regence BlueShield Setting Facility Modifier None Typical Low $144.54 Median $213.80 Typical High $288.40 | Facility | None | $144.54 | $213.80 | $288.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $77.62 Median $93.33 Typical High $151.36 | Professional | None | $77.62 | $93.33 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $100.00 Median $102.33 Typical High $257.04 | Facility | None | $100.00 | $102.33 | $257.04 |
Select Health Setting Professional Modifier None Typical Low $67.61 Median $89.13 Typical High $138.04 | Professional | None | $67.61 | $89.13 | $138.04 |
United Setting Professional Modifier None Typical Low $93.33 Median $123.03 Typical High $173.78 | Professional | None | $93.33 | $123.03 | $173.78 |
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 TD · Registered nurse Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | TD · Registered nurse | $93.33 | $93.33 | $93.33 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $83.18 Median $83.18 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $83.18 | $83.18 | $154.88 |
Where Idaho sits
The same service costs 2.3 times more in Hawaii than in Arizona. 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· 12th of 51
$105
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.