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 $134.90 Median $134.90 Typical High $199.53 | Facility | None | $134.90 | $134.90 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $165.96 | Professional | None | $102.33 | $114.82 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $57.54 Typical High $83.18 | Professional | 52 · Reduced service | $52.48 | $57.54 | $83.18 |
BCBS Idaho Setting Facility Modifier None Typical Low $257.04 Median $323.59 Typical High $524.81 | Facility | None | $257.04 | $323.59 | $524.81 |
BCBS Idaho Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $199.53 | Professional | None | $131.83 | $162.18 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $100.00 Typical High $141.25 | Professional | None | $66.07 | $100.00 | $141.25 |
Moda Health Setting Facility Modifier None Typical Low $104.71 Median $134.90 Typical High $199.53 | Facility | None | $104.71 | $134.90 | $199.53 |
Moda Health Setting Professional Modifier None Typical Low $104.71 Median $162.18 Typical High $234.42 | Professional | None | $104.71 | $162.18 | $234.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $57.54 Typical High $83.18 | Professional | 52 · Reduced service | $52.48 | $57.54 | $83.18 |
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 $141.25 Median $141.25 Typical High $257.04 | Facility | None | $141.25 | $141.25 | $257.04 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $141.25 Median $144.54 Typical High $263.03 | Professional | None | $141.25 | $144.54 | $263.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $257.04 Median $371.54 Typical High $524.81 | Facility | None | $257.04 | $371.54 | $524.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $234.42 | Professional | None | $131.83 | $162.18 | $234.42 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $134.90 Typical High $138.04 | Facility | None | $125.89 | $134.90 | $138.04 |
Select Health Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $162.18 | Professional | None | $70.79 | $83.18 | $162.18 |
United Setting Professional Modifier None Typical Low $56.23 Median $97.72 Typical High $147.91 | Professional | None | $56.23 | $97.72 | $147.91 |
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 $112.20 Median $112.20 Typical High $112.20 | Professional | 78 · Unplanned return to OR | $112.20 | $112.20 | $112.20 |
Where Idaho sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 3rd of 51
$162
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.