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 $16.22 Median $16.22 Typical High $17.38 | Professional | None | $16.22 | $16.22 | $17.38 |
BCBS Idaho Setting Facility Modifier None Typical Low $21.38 Median $30.20 Typical High $43.65 | Facility | None | $21.38 | $30.20 | $43.65 |
BCBS Idaho Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $19.05 | Professional | None | $18.20 | $18.20 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Moda Health Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $22.91 | Facility | None | $16.22 | $16.22 | $22.91 |
Moda Health Setting Professional Modifier None Typical Low $16.22 Median $17.38 Typical High $27.54 | Professional | None | $16.22 | $17.38 | $27.54 |
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 $17.78 Median $17.78 Typical High $25.12 | Facility | None | $17.78 | $17.78 | $25.12 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3.72 Median $17.78 Typical High $23.44 | Professional | None | $3.72 | $17.78 | $23.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $25.70 Median $30.90 Typical High $40.74 | Facility | None | $25.70 | $30.90 | $40.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $24.55 | Professional | None | $18.20 | $18.20 | $24.55 |
Select Health Setting Facility Modifier None Typical Low $14.79 Median $15.14 Typical High $47.86 | Facility | None | $14.79 | $15.14 | $47.86 |
Select Health Setting Professional Modifier None Typical Low $14.79 Median $16.98 Typical High $29.51 | Professional | None | $14.79 | $16.98 | $29.51 |
United Setting Professional Modifier None Typical Low $16.60 Median $18.62 Typical High $23.44 | Professional | None | $16.60 | $18.62 | $23.44 |
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 $13.49 Median $20.42 Typical High $24.55 | Professional | 78 · Unplanned return to OR | $13.49 | $20.42 | $24.55 |
Where Idaho sits
The same service costs 2.7 times more in Alaska than in Ohio. 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· 20th of 51
$18.20
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.