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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $74.13 | Professional | None | $61.66 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $36.31 Typical High $37.15 | Professional | 52 · Reduced service | $36.31 | $36.31 | $37.15 |
BCBS Idaho Setting Facility Modifier None Typical Low $50.12 Median $77.62 Typical High $112.20 | Facility | None | $50.12 | $77.62 | $112.20 |
BCBS Idaho Setting Professional Modifier None Typical Low $56.23 Median $57.54 Typical High $60.26 | Professional | None | $56.23 | $57.54 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Moda Health Setting Facility Modifier None Typical Low $72.44 Median $74.13 Typical High $104.71 | Facility | None | $72.44 | $74.13 | $104.71 |
Moda Health Setting Professional Modifier None Typical Low $61.66 Median $75.86 Typical High $87.10 | Professional | None | $61.66 | $75.86 | $87.10 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $36.31 Typical High $37.15 | Professional | 52 · Reduced service | $36.31 | $36.31 | $37.15 |
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 $56.23 Median $56.23 Typical High $81.28 | Facility | None | $56.23 | $56.23 | $81.28 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $11.75 Median $56.23 Typical High $74.13 | Professional | None | $11.75 | $56.23 | $74.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $77.62 Median $83.18 Typical High $125.89 | Facility | None | $77.62 | $83.18 | $125.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $77.62 | Professional | None | $56.23 | $56.23 | $77.62 |
Select Health Setting Facility Modifier None Typical Low $46.77 Median $47.86 Typical High $93.33 | Facility | None | $46.77 | $47.86 | $93.33 |
Select Health Setting Professional Modifier None Typical Low $46.77 Median $54.95 Typical High $95.50 | Professional | None | $46.77 | $54.95 | $95.50 |
United Setting Professional Modifier None Typical Low $46.77 Median $48.98 Typical High $53.70 | Professional | None | $46.77 | $48.98 | $53.70 |
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 $41.69 Median $66.07 Typical High $77.62 | Professional | 78 · Unplanned return to OR | $41.69 | $66.07 | $77.62 |
Where Idaho sits
The same service costs 3.5 times more in Alaska than in Utah. 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
$57.54
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.