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 $109.65 Median $109.65 Typical High $3,981.07 | Facility | None | $109.65 | $109.65 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $70.79 | Professional | None | $51.29 | $51.29 | $70.79 |
BCBS Idaho Setting Facility Modifier None Typical Low $100.00 Median $275.42 Typical High $389.05 | Facility | None | $100.00 | $275.42 | $389.05 |
BCBS Idaho Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $77.62 | Professional | None | $53.70 | $53.70 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $60.26 | Professional | None | $35.48 | $35.48 | $60.26 |
Moda Health Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $3,981.07 | Facility | None | $51.29 | $51.29 | $3,981.07 |
Moda Health Setting Professional Modifier None Typical Low $40.74 Median $58.88 Typical High $102.33 | Professional | None | $40.74 | $58.88 | $102.33 |
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 $58.88 Median $64.57 Typical High $64.57 | Facility | None | $58.88 | $64.57 | $64.57 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $8.51 Median $63.10 Typical High $64.57 | Professional | None | $8.51 | $63.10 | $64.57 |
Regence BlueShield Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $63.10 | Professional | None | $53.70 | $53.70 | $63.10 |
Select Health Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $275.42 | Facility | None | $34.67 | $34.67 | $275.42 |
Select Health Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $79.43 | Professional | None | $34.67 | $47.86 | $79.43 |
United Setting Professional Modifier None Typical Low $41.69 Median $72.44 Typical High $114.82 | Professional | None | $41.69 | $72.44 | $114.82 |
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 $40.74 Median $53.70 Typical High $56.23 | Professional | 78 · Unplanned return to OR | $40.74 | $53.70 | $56.23 |
Where Idaho sits
The same service costs 2.6 times more in Minnesota 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· 31st of 51
$53.70
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.