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 $77.62 Median $89.13 Typical High $97.72 | Professional | None | $77.62 | $89.13 | $97.72 |
BCBS Idaho Setting Facility Modifier None Typical Low $48.98 Median $64.57 Typical High $120.23 | Facility | None | $48.98 | $64.57 | $120.23 |
BCBS Idaho Setting Professional Modifier None Typical Low $60.26 Median $89.13 Typical High $107.15 | Professional | None | $60.26 | $89.13 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $72.44 Typical High $114.82 | Professional | None | $47.86 | $72.44 | $114.82 |
Moda Health Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $125.89 | Facility | None | $89.13 | $89.13 | $125.89 |
Moda Health Setting Professional Modifier None Typical Low $89.13 Median $97.72 Typical High $128.82 | Professional | None | $89.13 | $97.72 | $128.82 |
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 $120.23 Median $120.23 Typical High $147.91 | Facility | None | $120.23 | $120.23 | $147.91 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $120.23 Median $123.03 Typical High $147.91 | Professional | None | $120.23 | $123.03 | $147.91 |
Regence BlueShield Setting Facility Modifier None Typical Low $51.29 Median $72.44 Typical High $93.33 | Facility | None | $51.29 | $72.44 | $93.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $60.26 Median $69.18 Typical High $114.82 | Professional | None | $60.26 | $69.18 | $114.82 |
Select Health Setting Facility Modifier None Typical Low $75.86 Median $77.62 Typical High $120.23 | Facility | None | $75.86 | $77.62 | $120.23 |
Select Health Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $104.71 | Professional | None | $53.70 | $75.86 | $104.71 |
United Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $74.13 | Professional | None | $51.29 | $51.29 | $74.13 |
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 $64.57 Median $64.57 Typical High $100.00 | Professional | 78 · Unplanned return to OR | $64.57 | $64.57 | $100.00 |
Where Idaho sits
The same service costs 2.8 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· 7th of 51
$89.13
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.