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 $38.02 Median $38.02 Typical High $41.69 | Facility | None | $38.02 | $38.02 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $31.62 Typical High $32.36 | Professional | None | $27.54 | $31.62 | $32.36 |
BCBS Idaho Setting Facility Modifier None Typical Low $38.02 Median $51.29 Typical High $81.28 | Facility | None | $38.02 | $51.29 | $81.28 |
BCBS Idaho Setting Professional Modifier None Typical Low $36.31 Median $38.90 Typical High $41.69 | Professional | None | $36.31 | $38.90 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $32.36 | Professional | None | $31.62 | $31.62 | $32.36 |
Moda Health Setting Facility Modifier None Typical Low $31.62 Median $33.88 Typical High $41.69 | Facility | None | $31.62 | $33.88 | $41.69 |
Moda Health Setting Professional Modifier None Typical Low $31.62 Median $32.36 Typical High $58.88 | Professional | None | $31.62 | $32.36 | $58.88 |
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 $38.02 Median $38.02 Typical High $54.95 | Facility | None | $38.02 | $38.02 | $54.95 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $7.94 Median $38.02 Typical High $50.12 | Professional | None | $7.94 | $38.02 | $50.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $51.29 Median $53.70 Typical High $81.28 | Facility | None | $51.29 | $53.70 | $81.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $50.12 | Professional | None | $36.31 | $36.31 | $50.12 |
Select Health Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $89.13 | Facility | None | $32.36 | $32.36 | $89.13 |
Select Health Setting Professional Modifier None Typical Low $32.36 Median $36.31 Typical High $63.10 | Professional | None | $32.36 | $36.31 | $63.10 |
United Setting Professional Modifier None Typical Low $30.90 Median $33.11 Typical High $35.48 | Professional | None | $30.90 | $33.11 | $35.48 |
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 $27.54 Median $44.67 Typical High $52.48 | Professional | 78 · Unplanned return to OR | $27.54 | $44.67 | $52.48 |
Where Idaho sits
The same service costs 3.2 times more in Alaska than in Ohio. 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· 15th of 51
$36.31
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.