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 $79.43 Typical High $257.04 | Facility | None | $48.98 | $79.43 | $257.04 |
BCBS Idaho Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $14.13 | Professional | None | $12.88 | $12.88 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $10.72 Typical High $13.49 | Professional | None | $6.61 | $10.72 | $13.49 |
Moda Health Setting Facility Modifier None Typical Low $12.59 Median $15.49 Typical High $19.05 | Facility | None | $12.59 | $15.49 | $19.05 |
Moda Health Setting Professional Modifier None Typical Low $12.59 Median $15.49 Typical High $19.05 | Professional | None | $12.59 | $15.49 | $19.05 |
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 $6.31 Median $6.31 Typical High $10.00 | Facility | None | $6.31 | $6.31 | $10.00 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $8.13 Median $10.00 Typical High $10.00 | Professional | None | $8.13 | $10.00 | $10.00 |
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 $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Select Health Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $67.61 | Facility | None | $60.26 | $60.26 | $67.61 |
Select Health Setting Professional Modifier None Typical Low $17.78 Median $18.20 Typical High $30.90 | Professional | None | $17.78 | $18.20 | $30.90 |
United Setting Professional Modifier None Typical Low $5.75 Median $7.24 Typical High $10.96 | Professional | None | $5.75 | $7.24 | $10.96 |
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 $10.00 Median $10.00 Typical High $12.59 | Professional | 78 · Unplanned return to OR | $10.00 | $10.00 | $12.59 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | HN · Bachelor's level | $9.77 | $9.77 | $9.77 |
United Setting Professional Modifier HO · Master's level Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | HO · Master's level | $11.48 | $11.48 | $11.48 |
United Setting Professional Modifier HP · Doctoral level Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | HP · Doctoral level | $11.48 | $11.48 | $11.48 |
Where Idaho sits
The same service costs 12.9 times more in Maryland 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· 30th of 51
$12.88
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.