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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $39.81 Typical High $39.81 | Professional | None | $16.60 | $39.81 | $39.81 |
BCBS Idaho Setting Facility Modifier None Typical Low $25.12 Median $58.88 Typical High $114.82 | Facility | None | $25.12 | $58.88 | $114.82 |
BCBS Idaho Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $20.89 | Professional | None | $17.38 | $20.42 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $41.69 Typical High $79.43 | Facility | None | $15.85 | $41.69 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Moda Health Setting Facility Modifier None Typical Low $20.42 Median $26.30 Typical High $39.81 | Facility | None | $20.42 | $26.30 | $39.81 |
Moda Health Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $39.81 | Professional | None | $20.42 | $24.55 | $39.81 |
Molina Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $17.38 | Professional | None | $14.79 | $14.79 | $17.38 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $20.42 Median $22.39 Typical High $33.88 | Facility | None | $20.42 | $22.39 | $33.88 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $20.42 Median $21.38 Typical High $39.81 | Professional | None | $20.42 | $21.38 | $39.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $30.20 Median $47.86 Typical High $72.44 | Facility | None | $30.20 | $47.86 | $72.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $21.38 | Professional | None | $17.38 | $17.38 | $21.38 |
Select Health Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $93.33 | Facility | None | $20.42 | $20.42 | $93.33 |
United Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $44.67 | Professional | None | $8.51 | $12.02 | $44.67 |
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 $14.13 Median $14.45 Typical High $14.45 | Professional | 78 · Unplanned return to OR | $14.13 | $14.45 | $14.45 |
Where Idaho sits
The same service costs 4.7 times more in Alaska than in Delaware. 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· 19th of 51
$24.55
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.