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 $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
BCBS Idaho Setting Facility Modifier None Typical Low $18.62 Median $39.81 Typical High $61.66 | Facility | None | $18.62 | $39.81 | $61.66 |
BCBS Idaho Setting Professional Modifier None Typical Low $15.85 Median $18.62 Typical High $19.05 | Professional | None | $15.85 | $18.62 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $33.11 Typical High $69.18 | Facility | None | $12.30 | $33.11 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Moda Health Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $30.90 | Facility | None | $18.62 | $18.62 | $30.90 |
Moda Health Setting Professional Modifier None Typical Low $18.62 Median $22.39 Typical High $30.90 | Professional | None | $18.62 | $22.39 | $30.90 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $18.62 Median $20.42 Typical High $30.90 | Facility | None | $18.62 | $20.42 | $30.90 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $18.62 Median $19.50 Typical High $36.31 | Professional | None | $18.62 | $19.50 | $36.31 |
Regence BlueShield Setting Facility Modifier None Typical Low $26.92 Median $39.81 Typical High $64.57 | Facility | None | $26.92 | $39.81 | $64.57 |
Regence BlueShield Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $19.50 | Professional | None | $15.85 | $15.85 | $19.50 |
Select Health Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $48.98 | Facility | None | $18.62 | $18.62 | $48.98 |
United Setting Professional Modifier None Typical Low $6.31 Median $6.76 Typical High $25.12 | Professional | None | $6.31 | $6.76 | $25.12 |
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 $12.88 Median $13.18 Typical High $13.18 | Professional | 78 · Unplanned return to OR | $12.88 | $13.18 | $13.18 |
Where Idaho sits
The same service costs 6.6 times more in Texas 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· 13th of 51
$21.38
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.