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 $35.48 Median $35.48 Typical High $41.69 | Facility | None | $35.48 | $35.48 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $34.67 Typical High $38.02 | Professional | None | $30.20 | $34.67 | $38.02 |
BCBS Idaho Setting Facility Modifier None Typical Low $34.67 Median $53.70 Typical High $89.13 | Facility | None | $34.67 | $53.70 | $89.13 |
BCBS Idaho Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $38.90 | Professional | None | $29.51 | $34.67 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $41.69 Typical High $57.54 | Professional | None | $26.92 | $41.69 | $57.54 |
Moda Health Setting Facility Modifier None Typical Low $30.20 Median $35.48 Typical High $42.66 | Facility | None | $30.20 | $35.48 | $42.66 |
Moda Health Setting Professional Modifier None Typical Low $30.20 Median $38.02 Typical High $58.88 | Professional | None | $30.20 | $38.02 | $58.88 |
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 $30.20 Median $40.74 Typical High $46.77 | Facility | None | $30.20 | $40.74 | $46.77 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $58.88 | Professional | None | $30.20 | $30.20 | $58.88 |
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 $29.51 Median $34.67 Typical High $58.88 | Professional | None | $29.51 | $34.67 | $58.88 |
Select Health Setting Facility Modifier None Typical Low $25.70 Median $37.15 Typical High $38.02 | Facility | None | $25.70 | $37.15 | $38.02 |
Select Health Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $44.67 | Professional | None | $30.20 | $33.11 | $44.67 |
United Setting Professional Modifier None Typical Low $36.31 Median $38.02 Typical High $43.65 | Professional | None | $36.31 | $38.02 | $43.65 |
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 $27.54 Median $37.15 Typical High $57.54 | Professional | 78 · Unplanned return to OR | $27.54 | $37.15 | $57.54 |
Where Idaho sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 32nd of 51
$34.67
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.