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 $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $28.18 Typical High $34.67 | Professional | None | $21.38 | $28.18 | $34.67 |
BCBS Idaho Setting Facility Modifier None Typical Low $29.51 Median $45.71 Typical High $69.18 | Facility | None | $29.51 | $45.71 | $69.18 |
BCBS Idaho Setting Professional Modifier None Typical Low $32.36 Median $34.67 Typical High $36.31 | Professional | None | $32.36 | $34.67 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Moda Health Setting Facility Modifier None Typical Low $26.30 Median $32.36 Typical High $39.81 | Facility | None | $26.30 | $32.36 | $39.81 |
Moda Health Setting Professional Modifier None Typical Low $28.18 Median $32.36 Typical High $50.12 | Professional | None | $28.18 | $32.36 | $50.12 |
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 $33.88 Median $33.88 Typical High $47.86 | Facility | None | $33.88 | $33.88 | $47.86 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $7.08 Median $33.88 Typical High $44.67 | Professional | None | $7.08 | $33.88 | $44.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $45.71 Median $48.98 Typical High $72.44 | Facility | None | $45.71 | $48.98 | $72.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $43.65 | Professional | None | $32.36 | $32.36 | $43.65 |
Select Health Setting Facility Modifier None Typical Low $28.18 Median $28.84 Typical High $69.18 | Facility | None | $28.18 | $28.84 | $69.18 |
Select Health Setting Professional Modifier None Typical Low $28.18 Median $32.36 Typical High $56.23 | Professional | None | $28.18 | $32.36 | $56.23 |
United Setting Professional Modifier None Typical Low $25.12 Median $27.54 Typical High $30.20 | Professional | None | $25.12 | $27.54 | $30.20 |
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 $23.99 Median $39.81 Typical High $46.77 | Professional | 78 · Unplanned return to OR | $23.99 | $39.81 | $46.77 |
Where Idaho sits
The same service costs 3.6 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· 14th of 51
$32.36
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.