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 $48.98 Median $87.10 Typical High $263.03 | Facility | None | $48.98 | $87.10 | $263.03 |
BCBS Idaho Setting Professional Modifier None Typical Low $29.51 Median $43.65 Typical High $45.71 | Professional | None | $29.51 | $43.65 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $32.36 Typical High $52.48 | Professional | None | $19.05 | $32.36 | $52.48 |
Moda Health Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $22.39 | Facility | None | $15.49 | $15.49 | $22.39 |
Moda Health Setting Professional Modifier None Typical Low $9.55 Median $15.49 Typical High $29.51 | Professional | None | $9.55 | $15.49 | $29.51 |
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 $19.95 Median $28.84 Typical High $40.74 | Facility | None | $19.95 | $28.84 | $40.74 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $37.15 | Professional | None | $19.95 | $19.95 | $37.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $51.29 Median $74.13 Typical High $93.33 | Facility | None | $51.29 | $74.13 | $93.33 |
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 $22.91 Median $22.91 Typical High $23.44 | Facility | None | $22.91 | $22.91 | $23.44 |
Select Health Setting Professional Modifier None Typical Low $7.59 Median $22.91 Typical High $30.90 | Professional | None | $7.59 | $22.91 | $30.90 |
United Setting Professional Modifier None Typical Low $35.48 Median $46.77 Typical High $66.07 | Professional | None | $35.48 | $46.77 | $66.07 |
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 $13.80 Median $26.92 Typical High $26.92 | Professional | 78 · Unplanned return to OR | $13.80 | $26.92 | $26.92 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | HN · Bachelor's level | $14.79 | $14.79 | $14.79 |
United Setting Professional Modifier HO · Master's level Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | HO · Master's level | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier HP · Doctoral level Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | HP · Doctoral level | $17.38 | $17.38 | $17.38 |
Where Idaho sits
The same service costs 4.7 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· 16th 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.