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 $36.31 Median $36.31 Typical High $39.81 | Facility | None | $36.31 | $36.31 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.90 | Professional | None | $30.20 | $30.20 | $30.90 |
BCBS Idaho Setting Facility Modifier None Typical Low $25.70 Median $47.86 Typical High $69.18 | Facility | None | $25.70 | $47.86 | $69.18 |
BCBS Idaho Setting Professional Modifier None Typical Low $33.88 Median $36.31 Typical High $38.90 | Professional | None | $33.88 | $36.31 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Moda Health Setting Facility Modifier None Typical Low $30.20 Median $36.31 Typical High $52.48 | Facility | None | $30.20 | $36.31 | $52.48 |
Moda Health Setting Professional Modifier None Typical Low $30.20 Median $34.67 Typical High $54.95 | Professional | None | $30.20 | $34.67 | $54.95 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $51.29 | Facility | None | $35.48 | $35.48 | $51.29 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $7.41 Median $35.48 Typical High $46.77 | Professional | None | $7.41 | $35.48 | $46.77 |
Regence BlueShield Setting Facility Modifier None Typical Low $47.86 Median $50.12 Typical High $75.86 | Facility | None | $47.86 | $50.12 | $75.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $46.77 | Professional | None | $33.88 | $33.88 | $46.77 |
Select Health Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $44.67 | Facility | None | $29.51 | $29.51 | $44.67 |
Select Health Setting Professional Modifier None Typical Low $29.51 Median $33.11 Typical High $58.88 | Professional | None | $29.51 | $33.11 | $58.88 |
United Setting Professional Modifier None Typical Low $28.84 Median $30.90 Typical High $33.88 | Professional | None | $28.84 | $30.90 | $33.88 |
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 $25.70 Median $41.69 Typical High $48.98 | Professional | 78 · Unplanned return to OR | $25.70 | $41.69 | $48.98 |
Where Idaho sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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
$33.88
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.