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 $15.49 Median $15.49 Typical High $19.05 | Professional | None | $15.49 | $15.49 | $19.05 |
BCBS Idaho Setting Facility Modifier None Typical Low $64.57 Median $151.36 Typical High $288.40 | Facility | None | $64.57 | $151.36 | $288.40 |
BCBS Idaho Setting Professional Modifier None Typical Low $25.12 Median $47.86 Typical High $50.12 | Professional | None | $25.12 | $47.86 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $38.02 Typical High $72.44 | Professional | None | $20.89 | $38.02 | $72.44 |
Moda Health Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $19.95 | Facility | None | $15.49 | $15.49 | $19.95 |
Moda Health Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $46.77 | Professional | None | $15.49 | $15.49 | $46.77 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $37.15 Median $42.66 Typical High $61.66 | Facility | None | $37.15 | $42.66 | $61.66 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $56.23 | Professional | None | $37.15 | $37.15 | $56.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $144.54 Median $208.93 Typical High $288.40 | Facility | None | $144.54 | $208.93 | $288.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Select Health Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $37.15 | Facility | None | $36.31 | $36.31 | $37.15 |
Select Health Setting Professional Modifier None Typical Low $23.99 Median $36.31 Typical High $37.15 | Professional | None | $23.99 | $36.31 | $37.15 |
United Setting Professional Modifier None Typical Low $48.98 Median $64.57 Typical High $93.33 | Professional | None | $48.98 | $64.57 | $93.33 |
4 more rates 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 $17.38 Median $17.38 Typical High $23.44 | Professional | 78 · Unplanned return to OR | $17.38 | $17.38 | $23.44 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | HN · Bachelor's level | $25.12 | $25.12 | $25.12 |
United Setting Professional Modifier HO · Master's level Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | HO · Master's level | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier HP · Doctoral level Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | HP · Doctoral level | $30.20 | $30.20 | $30.20 |
Where Idaho sits
The same service costs 4.8 times more in Wyoming than in West Virginia. 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· 21st of 51
$37.15
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.