How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $204.17 Median $223.87 Typical High $302.00 | Facility | None | $204.17 | $223.87 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $181.97 Typical High $257.04 | Professional | None | $165.96 | $181.97 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $91.20 Typical High $128.82 | Professional | 52 · Reduced service | $89.13 | $91.20 | $128.82 |
BCBS Idaho Setting Facility Modifier None Typical Low $251.19 Median $257.04 Typical High $269.15 | Facility | None | $251.19 | $257.04 | $269.15 |
BCBS Idaho Setting Professional Modifier None Typical Low $141.25 Median $251.19 Typical High $309.03 | Professional | None | $141.25 | $251.19 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $234.42 Typical High $323.59 | Professional | None | $186.21 | $234.42 | $323.59 |
Moda Health Setting Facility Modifier None Typical Low $23.44 Median $181.97 Typical High $302.00 | Facility | None | $23.44 | $181.97 | $302.00 |
Moda Health Setting Professional Modifier None Typical Low $181.97 Median $251.19 Typical High $363.08 | Professional | None | $181.97 | $251.19 | $363.08 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $91.20 Typical High $128.82 | Professional | 52 · Reduced service | $91.20 | $91.20 | $128.82 |
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 $218.78 Median $218.78 Typical High $389.05 | Facility | None | $218.78 | $218.78 | $389.05 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $218.78 Median $223.87 Typical High $398.11 | Professional | None | $218.78 | $223.87 | $398.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $229.09 Median $295.12 Typical High $436.52 | Facility | None | $229.09 | $295.12 | $436.52 |
Regence BlueShield Setting Professional Modifier None Typical Low $208.93 Median $251.19 Typical High $363.08 | Professional | None | $208.93 | $251.19 | $363.08 |
Select Health Setting Facility Modifier None Typical Low $190.55 Median $208.93 Typical High $208.93 | Facility | None | $190.55 | $208.93 | $208.93 |
Select Health Setting Professional Modifier None Typical Low $114.82 Median $131.83 Typical High $251.19 | Professional | None | $114.82 | $131.83 | $251.19 |
United Setting Professional Modifier None Typical Low $138.04 Median $199.53 Typical High $281.84 | Professional | None | $138.04 | $199.53 | $281.84 |
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 $173.78 Median $173.78 Typical High $173.78 | Professional | 78 · Unplanned return to OR | $173.78 | $173.78 | $173.78 |
Where Idaho sits
The same service costs 2.8 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· 4th of 51
$251
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.