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 $89.13 Median $89.13 Typical High $93.33 | Facility | None | $89.13 | $89.13 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $89.13 Typical High $93.33 | Professional | None | $70.79 | $89.13 | $93.33 |
BCBS Idaho Setting Facility Modifier None Typical Low $97.72 Median $104.71 Typical High $158.49 | Facility | None | $97.72 | $104.71 | $158.49 |
BCBS Idaho Setting Professional Modifier None Typical Low $64.57 Median $83.18 Typical High $97.72 | Professional | None | $64.57 | $83.18 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $97.72 Typical High $117.49 | Professional | None | $75.86 | $97.72 | $117.49 |
Moda Health Setting Facility Modifier None Typical Low $89.13 Median $93.33 Typical High $128.82 | Facility | None | $89.13 | $93.33 | $128.82 |
Moda Health Setting Professional Modifier None Typical Low $70.79 Median $89.13 Typical High $93.33 | Professional | None | $70.79 | $89.13 | $93.33 |
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 $100.00 Median $100.00 Typical High $123.03 | Facility | None | $100.00 | $100.00 | $123.03 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $100.00 Median $102.33 Typical High $123.03 | Professional | None | $100.00 | $102.33 | $123.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $97.72 Median $104.71 Typical High $158.49 | Facility | None | $97.72 | $104.71 | $158.49 |
Regence BlueShield Setting Professional Modifier None Typical Low $93.33 Median $97.72 Typical High $114.82 | Professional | None | $93.33 | $97.72 | $114.82 |
Select Health Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $66.07 | Facility | None | $64.57 | $64.57 | $66.07 |
Select Health Setting Professional Modifier None Typical Low $48.98 Median $64.57 Typical High $100.00 | Professional | None | $48.98 | $64.57 | $100.00 |
United Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $72.44 | Professional | None | $48.98 | $48.98 | $72.44 |
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 $56.23 Median $56.23 Typical High $77.62 | Professional | 78 · Unplanned return to OR | $56.23 | $56.23 | $77.62 |
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· 5th of 51
$89.13
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.