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 $52.48 Median $77.62 Typical High $95.50 | Professional | None | $52.48 | $77.62 | $95.50 |
BCBS Idaho Setting Professional Modifier None Typical Low $41.69 Median $70.79 Typical High $89.13 | Professional | None | $41.69 | $70.79 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $69.18 Typical High $93.33 | Professional | None | $52.48 | $69.18 | $93.33 |
Moda Health Setting Facility Modifier None Typical Low $52.48 Median $75.86 Typical High $95.50 | Facility | None | $52.48 | $75.86 | $95.50 |
Moda Health Setting Professional Modifier None Typical Low $52.48 Median $77.62 Typical High $95.50 | Professional | None | $52.48 | $77.62 | $95.50 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $57.54 | Professional | None | $33.11 | $33.11 | $57.54 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $109.65 | Facility | None | $64.57 | $64.57 | $109.65 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $64.57 Median $66.07 Typical High $112.20 | Professional | None | $64.57 | $66.07 | $112.20 |
Regence BlueShield Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $102.33 | Professional | None | $60.26 | $72.44 | $102.33 |
Select Health Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $58.88 | Facility | None | $57.54 | $57.54 | $58.88 |
Select Health Setting Professional Modifier None Typical Low $33.11 Median $41.69 Typical High $63.10 | Professional | None | $33.11 | $41.69 | $63.10 |
United Setting Professional Modifier None Typical Low $45.71 Median $67.61 Typical High $107.15 | Professional | None | $45.71 | $67.61 | $107.15 |
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 $43.65 Median $50.12 Typical High $50.12 | Professional | 78 · Unplanned return to OR | $43.65 | $50.12 | $50.12 |
Where Idaho sits
The same service costs 2.5 times more in North Dakota than in Alabama. 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· 4th of 51
$70.79
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.