How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $41.69 Typical High $48.98 | Professional | None | $36.31 | $41.69 | $48.98 |
BCBS Idaho Setting Facility Modifier None Typical Low $51.29 Median $53.70 Typical High $81.28 | Facility | None | $51.29 | $53.70 | $81.28 |
BCBS Idaho Setting Professional Modifier None Typical Low $32.36 Median $42.66 Typical High $51.29 | Professional | None | $32.36 | $42.66 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $51.29 Typical High $58.88 | Professional | None | $38.90 | $51.29 | $58.88 |
Moda Health Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $64.57 | Facility | None | $44.67 | $44.67 | $64.57 |
Moda Health Setting Professional Modifier None Typical Low $36.31 Median $44.67 Typical High $57.54 | Professional | None | $36.31 | $44.67 | $57.54 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $63.10 | Facility | None | $50.12 | $50.12 | $63.10 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $50.12 Median $51.29 Typical High $64.57 | Professional | None | $50.12 | $51.29 | $64.57 |
Regence BlueShield Setting Facility Modifier None Typical Low $51.29 Median $53.70 Typical High $81.28 | Facility | None | $51.29 | $53.70 | $81.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $60.26 | Professional | None | $46.77 | $51.29 | $60.26 |
Select Health Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.88 | Facility | None | $33.11 | $33.11 | $33.88 |
Select Health Setting Professional Modifier None Typical Low $25.12 Median $32.36 Typical High $50.12 | Professional | None | $25.12 | $32.36 | $50.12 |
United Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $36.31 | Professional | None | $25.70 | $25.70 | $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 $28.84 Median $28.84 Typical High $39.81 | Professional | 78 · Unplanned return to OR | $28.84 | $28.84 | $39.81 |
Where Idaho sits
The same service costs 2.3 times more in Alaska than in Arizona. 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· 7th of 51
$42.66
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.