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 $26.30 Median $26.30 Typical High $33.11 | Facility | None | $26.30 | $26.30 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $22.39 Typical High $22.39 | Professional | None | $21.38 | $22.39 | $22.39 |
BCBS Idaho Setting Facility Modifier None Typical Low $28.18 Median $43.65 Typical High $60.26 | Facility | None | $28.18 | $43.65 | $60.26 |
BCBS Idaho Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $37.15 | Professional | None | $20.89 | $23.44 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $22.39 Typical High $35.48 | Professional | None | $21.88 | $22.39 | $35.48 |
Moda Health Setting Facility Modifier None Typical Low $22.39 Median $26.30 Typical High $31.62 | Facility | None | $22.39 | $26.30 | $31.62 |
Moda Health Setting Professional Modifier None Typical Low $21.38 Median $22.39 Typical High $33.88 | Professional | None | $21.38 | $22.39 | $33.88 |
Molina Setting Professional Modifier None Typical Low $21.88 Median $33.11 Typical High $33.11 | Professional | None | $21.88 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $22.91 Median $26.30 Typical High $33.11 | Facility | None | $22.91 | $26.30 | $33.11 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $22.91 Median $30.20 Typical High $33.88 | Professional | None | $22.91 | $30.20 | $33.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $33.11 Median $37.15 Typical High $53.70 | Facility | None | $33.11 | $37.15 | $53.70 |
Regence BlueShield Setting Professional Modifier None Typical Low $23.44 Median $23.99 Typical High $33.88 | Professional | None | $23.44 | $23.99 | $33.88 |
Select Health Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $77.62 | Facility | None | $21.88 | $21.88 | $77.62 |
Select Health Setting Professional Modifier None Typical Low $16.22 Median $21.88 Typical High $35.48 | Professional | None | $16.22 | $21.88 | $35.48 |
United Setting Professional Modifier None Typical Low $19.95 Median $22.91 Typical High $27.54 | Professional | None | $19.95 | $22.91 | $27.54 |
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 $14.79 Median $14.79 Typical High $29.51 | Professional | 78 · Unplanned return to OR | $14.79 | $14.79 | $29.51 |
Where Idaho sits
The same service costs 3.3 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· 19th of 51
$23.44
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.