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 $53.70 Median $64.57 Typical High $67.61 | Professional | None | $53.70 | $64.57 | $67.61 |
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 $51.29 Median $63.10 Typical High $67.61 | Professional | None | $51.29 | $63.10 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $107.15 | Professional | None | $60.26 | $77.62 | $107.15 |
Moda Health Setting Facility Modifier None Typical Low $56.23 Median $67.61 Typical High $81.28 | Facility | None | $56.23 | $67.61 | $81.28 |
Moda Health Setting Professional Modifier None Typical Low $56.23 Median $67.61 Typical High $104.71 | Professional | None | $56.23 | $67.61 | $104.71 |
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 $53.70 Median $77.62 Typical High $83.18 | Facility | None | $53.70 | $77.62 | $83.18 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $109.65 | Professional | None | $53.70 | $53.70 | $109.65 |
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 $51.29 Median $63.10 Typical High $104.71 | Professional | None | $51.29 | $63.10 | $104.71 |
Select Health Setting Facility Modifier None Typical Low $30.20 Median $69.18 Typical High $70.79 | Facility | None | $30.20 | $69.18 | $70.79 |
Select Health Setting Professional Modifier None Typical Low $53.70 Median $58.88 Typical High $85.11 | Professional | None | $53.70 | $58.88 | $85.11 |
United Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $81.28 | Professional | None | $40.74 | $40.74 | $81.28 |
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 $48.98 Median $57.54 Typical High $112.20 | Professional | 78 · Unplanned return to OR | $48.98 | $57.54 | $112.20 |
Where Idaho sits
The same service costs 4.7 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· 20th of 51
$63.10
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.