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 Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $69.18 | Professional | None | $38.02 | $54.95 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.05 Typical High $27.54 | Professional | 52 · Reduced service | $19.05 | $19.05 | $27.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $48.98 Median $64.57 Typical High $93.33 | Facility | None | $48.98 | $64.57 | $93.33 |
BCBS Idaho Setting Professional Modifier None Typical Low $42.66 Median $53.70 Typical High $69.18 | Professional | None | $42.66 | $53.70 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $56.23 Typical High $72.44 | Professional | None | $40.74 | $56.23 | $72.44 |
Moda Health Setting Facility Modifier None Typical Low $38.02 Median $54.95 Typical High $69.18 | Facility | None | $38.02 | $54.95 | $69.18 |
Moda Health Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $69.18 | Professional | None | $38.02 | $54.95 | $69.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.05 Typical High $27.54 | Professional | 52 · Reduced service | $19.05 | $19.05 | $27.54 |
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 $70.79 Median $70.79 Typical High $102.33 | Facility | None | $70.79 | $70.79 | $102.33 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $104.71 | Professional | None | $70.79 | $70.79 | $104.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $51.29 Median $74.13 Typical High $93.33 | Facility | None | $51.29 | $74.13 | $93.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $42.66 Median $53.70 Typical High $75.86 | Professional | None | $42.66 | $53.70 | $75.86 |
Select Health Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $56.23 | Facility | None | $54.95 | $54.95 | $56.23 |
Select Health Setting Professional Modifier None Typical Low $33.88 Median $44.67 Typical High $67.61 | Professional | None | $33.88 | $44.67 | $67.61 |
United Setting Professional Modifier None Typical Low $34.67 Median $51.29 Typical High $74.13 | Professional | None | $34.67 | $51.29 | $74.13 |
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 $46.77 Median $46.77 Typical High $58.88 | Professional | 78 · Unplanned return to OR | $46.77 | $46.77 | $58.88 |
Where Idaho sits
The same service costs 2.6 times more in North Dakota than in Oklahoma. 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
$53.70
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.