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 $89.13 Median $263.03 Typical High $478.63 | Facility | None | $89.13 | $263.03 | $478.63 |
BCBS Idaho Setting Professional Modifier None Typical Low $29.51 Median $40.74 Typical High $42.66 | Professional | None | $29.51 | $40.74 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $20.89 Typical High $41.69 | Professional | None | $19.05 | $20.89 | $41.69 |
Moda Health Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $34.67 | Facility | None | $15.49 | $15.49 | $34.67 |
Moda Health Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $34.67 | Professional | None | $15.49 | $15.49 | $34.67 |
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 $36.31 Median $36.31 Typical High $52.48 | Facility | None | $36.31 | $36.31 | $52.48 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $47.86 | Professional | None | $37.15 | $37.15 | $47.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $144.54 Median $302.00 Typical High $524.81 | Facility | None | $144.54 | $302.00 | $524.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Select Health Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $380.19 | Facility | None | $154.88 | $154.88 | $380.19 |
Select Health Setting Professional Modifier None Typical Low $23.99 Median $38.90 Typical High $47.86 | Professional | None | $23.99 | $38.90 | $47.86 |
United Setting Professional Modifier None Typical Low $33.88 Median $44.67 Typical High $64.57 | Professional | None | $33.88 | $44.67 | $64.57 |
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 $26.92 Median $26.92 Typical High $33.88 | Professional | 78 · Unplanned return to OR | $26.92 | $26.92 | $33.88 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | HN · Bachelor's level | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier HO · Master's level Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | HO · Master's level | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier HP · Doctoral level Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | HP · Doctoral level | $19.50 | $19.50 | $19.50 |
Where Idaho sits
The same service costs 3.4 times more in Wyoming than in Alabama. 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· 12th of 51
$29.51
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.