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 $28.18 Median $28.18 Typical High $38.02 | Facility | None | $28.18 | $28.18 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $30.20 | Professional | None | $22.39 | $26.30 | $30.20 |
BCBS Idaho Setting Facility Modifier None Typical Low $28.84 Median $48.98 Typical High $85.11 | Facility | None | $28.84 | $48.98 | $85.11 |
BCBS Idaho Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $28.18 | Professional | None | $19.95 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $31.62 Typical High $42.66 | Professional | None | $23.99 | $31.62 | $42.66 |
Moda Health Setting Facility Modifier None Typical Low $22.39 Median $29.51 Typical High $42.66 | Facility | None | $22.39 | $29.51 | $42.66 |
Moda Health Setting Professional Modifier None Typical Low $22.39 Median $30.20 Typical High $45.71 | Professional | None | $22.39 | $30.20 | $45.71 |
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 $20.89 Median $32.36 Typical High $33.88 | Facility | None | $20.89 | $32.36 | $33.88 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $47.86 | Professional | None | $20.89 | $20.89 | $47.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $48.98 Median $67.61 Typical High $85.11 | Facility | None | $48.98 | $67.61 | $85.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $45.71 | Professional | None | $19.95 | $28.18 | $45.71 |
Select Health Setting Facility Modifier None Typical Low $30.20 Median $30.90 Typical High $36.31 | Facility | None | $30.20 | $30.90 | $36.31 |
Select Health Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $37.15 | Professional | None | $20.89 | $23.44 | $37.15 |
United Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $36.31 | Professional | None | $19.05 | $19.05 | $36.31 |
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 $19.05 Median $25.12 Typical High $50.12 | Professional | 78 · Unplanned return to OR | $19.05 | $25.12 | $50.12 |
Where Idaho sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 26th of 51
$28.18
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.