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 $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $19.50 | Professional | None | $18.62 | $18.62 | $19.50 |
BCBS Idaho Setting Facility Modifier None Typical Low $28.18 Median $38.90 Typical High $74.13 | Facility | None | $28.18 | $38.90 | $74.13 |
BCBS Idaho Setting Professional Modifier None Typical Low $20.89 Median $21.88 Typical High $23.44 | Professional | None | $20.89 | $21.88 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Moda Health Setting Facility Modifier None Typical Low $18.62 Median $21.88 Typical High $26.30 | Facility | None | $18.62 | $21.88 | $26.30 |
Moda Health Setting Professional Modifier None Typical Low $18.62 Median $19.50 Typical High $33.11 | Professional | None | $18.62 | $19.50 | $33.11 |
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 $21.88 Median $21.88 Typical High $30.90 | Facility | None | $21.88 | $21.88 | $30.90 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $4.47 Median $21.88 Typical High $28.18 | Professional | None | $4.47 | $21.88 | $28.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $28.84 Median $35.48 Typical High $46.77 | Facility | None | $28.84 | $35.48 | $46.77 |
Regence BlueShield Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $28.84 | Professional | None | $20.89 | $20.89 | $28.84 |
Select Health Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $83.18 | Facility | None | $18.20 | $18.20 | $83.18 |
Select Health Setting Professional Modifier None Typical Low $18.20 Median $20.42 Typical High $35.48 | Professional | None | $18.20 | $20.42 | $35.48 |
United Setting Professional Modifier None Typical Low $19.05 Median $21.38 Typical High $30.90 | Professional | None | $19.05 | $21.38 | $30.90 |
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 $15.49 Median $25.12 Typical High $29.51 | Professional | 78 · Unplanned return to OR | $15.49 | $25.12 | $29.51 |
Where Idaho sits
The same service costs 3.0 times more in Alaska than in Delaware. 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· 22nd of 51
$20.89
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.