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 Professional Modifier None Typical Low $1.51 Median $5.89 Typical High $5.89 | Professional | None | $1.51 | $5.89 | $5.89 |
BCBS Idaho Setting Facility Modifier None Typical Low $3.16 Median $4.37 Typical High $7.76 | Facility | None | $3.16 | $4.37 | $7.76 |
BCBS Idaho Setting Professional Modifier None Typical Low $3.09 Median $4.57 Typical High $4.90 | Professional | None | $3.09 | $4.57 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Facility | None | $3.24 | $3.24 | $3.24 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | None | $1.82 | $1.82 | $1.82 |
Moda Health Setting Facility Modifier None Typical Low $1.38 Median $4.17 Typical High $5.89 | Facility | None | $1.38 | $4.17 | $5.89 |
Moda Health Setting Professional Modifier None Typical Low $2.45 Median $4.68 Typical High $5.89 | Professional | None | $2.45 | $4.68 | $5.89 |
Molina Setting Professional Modifier None Typical Low $3.16 Median $3.72 Typical High $30.20 | Professional | None | $3.16 | $3.72 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $3.47 Median $5.50 Typical High $263.03 | Facility | None | $3.47 | $5.50 | $263.03 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $0.85 Median $5.50 Typical High $302.00 | Professional | None | $0.85 | $5.50 | $302.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $4.68 | Professional | None | $3.09 | $3.09 | $4.68 |
Select Health Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $7.76 | Facility | None | $4.47 | $4.47 | $7.76 |
Select Health Setting Professional Modifier None Typical Low $2.88 Median $4.47 Typical High $7.59 | Professional | None | $2.88 | $4.47 | $7.59 |
United Setting Professional Modifier None Typical Low $1.45 Median $1.82 Typical High $2.88 | Professional | None | $1.45 | $1.82 | $2.88 |
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 $3.24 Median $3.24 Typical High $3.39 | Professional | 78 · Unplanned return to OR | $3.24 | $3.24 | $3.39 |
Where Idaho sits
The same service costs 2.6 times more in Hawaii than in California. 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
$4.47
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.