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 $91.20 Median $97.72 Typical High $107.15 | Professional | None | $91.20 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $47.86 Typical High $53.70 | Professional | 52 · Reduced service | $45.71 | $47.86 | $53.70 |
BCBS Idaho Setting Facility Modifier None Typical Low $194.98 Median $239.88 Typical High $288.40 | Facility | None | $194.98 | $239.88 | $288.40 |
BCBS Idaho Setting Professional Modifier None Typical Low $102.33 Median $112.20 Typical High $125.89 | Professional | None | $102.33 | $112.20 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $141.25 | Professional | None | $93.33 | $114.82 | $141.25 |
Moda Health Setting Facility Modifier None Typical Low $91.20 Median $107.15 Typical High $151.36 | Facility | None | $91.20 | $107.15 | $151.36 |
Moda Health Setting Professional Modifier None Typical Low $97.72 Median $107.15 Typical High $151.36 | Professional | None | $97.72 | $107.15 | $151.36 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $47.86 Typical High $53.70 | Professional | 52 · Reduced service | $47.86 | $47.86 | $53.70 |
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 $117.49 Median $117.49 Typical High $158.49 | Facility | None | $117.49 | $117.49 | $158.49 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $117.49 Median $120.23 Typical High $162.18 | Professional | None | $117.49 | $120.23 | $162.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $112.20 Median $125.89 Typical High $151.36 | Professional | None | $112.20 | $125.89 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $79.43 Median $85.11 Typical High $316.23 | Facility | None | $79.43 | $85.11 | $316.23 |
Select Health Setting Professional Modifier None Typical Low $58.88 Median $69.18 Typical High $117.49 | Professional | None | $58.88 | $69.18 | $117.49 |
United Setting Professional Modifier None Typical Low $81.28 Median $104.71 Typical High $147.91 | Professional | None | $81.28 | $104.71 | $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 $72.44 Median $72.44 Typical High $79.43 | Professional | 78 · Unplanned return to OR | $72.44 | $72.44 | $79.43 |
Where Idaho sits
The same service costs 3.0 times more in Alaska than in New York. 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· 6th of 51
$112
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.