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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $20.42 Typical High $23.99 | Professional | None | $14.13 | $20.42 | $23.99 |
BCBS Idaho Setting Facility Modifier None Typical Low $33.11 Median $66.07 Typical High $144.54 | Facility | None | $33.11 | $66.07 | $144.54 |
BCBS Idaho Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $26.92 | Professional | None | $22.39 | $26.30 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $54.95 Typical High $102.33 | Facility | None | $20.89 | $54.95 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Moda Health Setting Facility Modifier None Typical Low $26.30 Median $34.67 Typical High $74.13 | Facility | None | $26.30 | $34.67 | $74.13 |
Moda Health Setting Professional Modifier None Typical Low $20.42 Median $26.30 Typical High $33.11 | Professional | None | $20.42 | $26.30 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $26.30 Median $28.84 Typical High $43.65 | Facility | None | $26.30 | $28.84 | $43.65 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $26.30 Median $27.54 Typical High $51.29 | Professional | None | $26.30 | $27.54 | $51.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $39.81 Median $63.10 Typical High $95.50 | Facility | None | $39.81 | $63.10 | $95.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $27.54 | Professional | None | $22.39 | $22.39 | $27.54 |
Select Health Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $43.65 | Facility | None | $26.30 | $26.30 | $43.65 |
United Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $58.88 | Professional | None | $11.22 | $15.85 | $58.88 |
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 $18.62 Median $19.05 Typical High $19.05 | Professional | 78 · Unplanned return to OR | $18.62 | $19.05 | $19.05 |
Where Idaho sits
The same service costs 5.6 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· 23rd of 51
$31.62
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.