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 $6.31 Median $6.31 Typical High $8.32 | Facility | None | $6.31 | $6.31 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $8.51 | Professional | None | $5.25 | $5.25 | $8.51 |
BCBS Idaho Setting Facility Modifier None Typical Low $8.51 Median $12.02 Typical High $27.54 | Facility | None | $8.51 | $12.02 | $27.54 |
BCBS Idaho Setting Professional Modifier None Typical Low $6.03 Median $6.76 Typical High $7.08 | Professional | None | $6.03 | $6.76 | $7.08 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $6.03 | Professional | None | $5.25 | $5.25 | $6.03 |
Moda Health Setting Facility Modifier None Typical Low $5.25 Median $6.31 Typical High $7.59 | Facility | None | $5.25 | $6.31 | $7.59 |
Moda Health Setting Professional Modifier None Typical Low $5.25 Median $5.62 Typical High $10.47 | Professional | None | $5.25 | $5.62 | $10.47 |
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 $6.61 Median $6.61 Typical High $9.55 | Facility | None | $6.61 | $6.61 | $9.55 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1.38 Median $6.31 Typical High $8.71 | Professional | None | $1.38 | $6.31 | $8.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $8.51 Median $10.23 Typical High $13.49 | Facility | None | $8.51 | $10.23 | $13.49 |
Regence BlueShield Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $8.13 | Professional | None | $6.03 | $6.03 | $8.13 |
Select Health Setting Facility Modifier None Typical Low $5.50 Median $5.62 Typical High $48.98 | Facility | None | $5.50 | $5.62 | $48.98 |
Select Health Setting Professional Modifier None Typical Low $5.50 Median $6.31 Typical High $11.22 | Professional | None | $5.50 | $6.31 | $11.22 |
United Setting Professional Modifier None Typical Low $5.50 Median $6.17 Typical High $11.22 | Professional | None | $5.50 | $6.17 | $11.22 |
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 $4.37 Median $7.76 Typical High $9.12 | Professional | 78 · Unplanned return to OR | $4.37 | $7.76 | $9.12 |
Where Idaho sits
The same service costs 2.6 times more in North Dakota than in Missouri. 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· 34th of 51
$6.03
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.