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 $39.81 Median $39.81 Typical High $51.29 | Facility | None | $39.81 | $39.81 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $33.11 Typical High $43.65 | Professional | None | $32.36 | $33.11 | $43.65 |
BCBS Idaho Setting Facility Modifier None Typical Low $37.15 Median $51.29 Typical High $134.90 | Facility | None | $37.15 | $51.29 | $134.90 |
BCBS Idaho Setting Professional Modifier None Typical Low $33.11 Median $36.31 Typical High $44.67 | Professional | None | $33.11 | $36.31 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $39.81 Typical High $51.29 | Professional | None | $30.90 | $39.81 | $51.29 |
Moda Health Setting Facility Modifier None Typical Low $33.11 Median $41.69 Typical High $51.29 | Facility | None | $33.11 | $41.69 | $51.29 |
Moda Health Setting Professional Modifier None Typical Low $33.11 Median $41.69 Typical High $54.95 | Professional | None | $33.11 | $41.69 | $54.95 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $33.11 Typical High $33.11 | Professional | None | $30.90 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $58.88 | Facility | None | $38.02 | $38.02 | $58.88 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $37.15 Median $38.02 Typical High $58.88 | Professional | None | $37.15 | $38.02 | $58.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $47.86 Median $51.29 Typical High $75.86 | Facility | None | $47.86 | $51.29 | $75.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $33.11 Median $41.69 Typical High $54.95 | Professional | None | $33.11 | $41.69 | $54.95 |
Select Health Setting Facility Modifier None Typical Low $30.90 Median $31.62 Typical High $141.25 | Facility | None | $30.90 | $31.62 | $141.25 |
Select Health Setting Professional Modifier None Typical Low $18.62 Median $24.55 Typical High $37.15 | Professional | None | $18.62 | $24.55 | $37.15 |
United Setting Professional Modifier None Typical Low $25.70 Median $35.48 Typical High $54.95 | Professional | None | $25.70 | $35.48 | $54.95 |
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 $25.12 Median $25.12 Typical High $47.86 | Professional | 78 · Unplanned return to OR | $25.12 | $25.12 | $47.86 |
Where Idaho sits
The same service costs 3.1 times more in Alaska than in Maryland. 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
$41.69
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.