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 Professional Modifier None Typical Low $42.66 Median $51.29 Typical High $54.95 | Professional | None | $42.66 | $51.29 | $54.95 |
BCBS Idaho Setting Facility Modifier None Typical Low $28.84 Median $48.98 Typical High $87.10 | Facility | None | $28.84 | $48.98 | $87.10 |
BCBS Idaho Setting Professional Modifier None Typical Low $40.74 Median $52.48 Typical High $53.70 | Professional | None | $40.74 | $52.48 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $61.66 Typical High $85.11 | Professional | None | $47.86 | $61.66 | $85.11 |
Moda Health Setting Facility Modifier None Typical Low $44.67 Median $54.95 Typical High $63.10 | Facility | None | $44.67 | $54.95 | $63.10 |
Moda Health Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $85.11 | Professional | None | $44.67 | $54.95 | $85.11 |
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 $42.66 Median $63.10 Typical High $66.07 | Facility | None | $42.66 | $63.10 | $66.07 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $91.20 | Professional | None | $42.66 | $42.66 | $91.20 |
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 $40.74 Median $52.48 Typical High $85.11 | Professional | None | $40.74 | $52.48 | $85.11 |
Select Health Setting Facility Modifier None Typical Low $30.20 Median $57.54 Typical High $58.88 | Facility | None | $30.20 | $57.54 | $58.88 |
Select Health Setting Professional Modifier None Typical Low $42.66 Median $47.86 Typical High $70.79 | Professional | None | $42.66 | $47.86 | $70.79 |
United Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $67.61 | Professional | None | $34.67 | $34.67 | $67.61 |
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 $38.90 Median $46.77 Typical High $89.13 | Professional | 78 · Unplanned return to OR | $38.90 | $46.77 | $89.13 |
Where Idaho sits
The same service costs 3.8 times more in Alaska than in Hawaii. 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· 22nd of 51
$52.48
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.