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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $40.74 | Professional | None | $38.90 | $38.90 | $40.74 |
BCBS Idaho Setting Facility Modifier None Typical Low $38.02 Median $61.66 Typical High $93.33 | Facility | None | $38.02 | $61.66 | $93.33 |
BCBS Idaho Setting Professional Modifier None Typical Low $44.67 Median $46.77 Typical High $48.98 | Professional | None | $44.67 | $46.77 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Moda Health Setting Facility Modifier None Typical Low $38.90 Median $40.74 Typical High $56.23 | Facility | None | $38.90 | $40.74 | $56.23 |
Moda Health Setting Professional Modifier None Typical Low $38.90 Median $45.71 Typical High $70.79 | Professional | None | $38.90 | $45.71 | $70.79 |
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 $45.71 Median $45.71 Typical High $66.07 | Facility | None | $45.71 | $45.71 | $66.07 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $9.55 Median $45.71 Typical High $60.26 | Professional | None | $9.55 | $45.71 | $60.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $63.10 Median $66.07 Typical High $100.00 | Facility | None | $63.10 | $66.07 | $100.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $61.66 | Professional | None | $44.67 | $44.67 | $61.66 |
Select Health Setting Facility Modifier None Typical Low $38.02 Median $38.90 Typical High $77.62 | Facility | None | $38.02 | $38.90 | $77.62 |
Select Health Setting Professional Modifier None Typical Low $38.02 Median $43.65 Typical High $77.62 | Professional | None | $38.02 | $43.65 | $77.62 |
United Setting Professional Modifier None Typical Low $32.36 Median $38.90 Typical High $42.66 | Professional | None | $32.36 | $38.90 | $42.66 |
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 $33.11 Median $53.70 Typical High $63.10 | Professional | 78 · Unplanned return to OR | $33.11 | $53.70 | $63.10 |
Where Idaho sits
The same service costs 3.8 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· 17th of 51
$44.67
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.