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 $28.84 Median $28.84 Typical High $31.62 | Professional | None | $28.84 | $28.84 | $31.62 |
BCBS Idaho Setting Facility Modifier None Typical Low $48.98 Median $64.57 Typical High $112.20 | Facility | None | $48.98 | $64.57 | $112.20 |
BCBS Idaho Setting Professional Modifier None Typical Low $44.67 Median $51.29 Typical High $60.26 | Professional | None | $44.67 | $51.29 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $48.98 | Professional | None | $34.67 | $34.67 | $48.98 |
Moda Health Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $41.69 | Facility | None | $28.84 | $28.84 | $41.69 |
Moda Health Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $31.62 | Professional | None | $28.84 | $28.84 | $31.62 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $30.20 Median $41.69 Typical High $60.26 | Facility | None | $30.20 | $41.69 | $60.26 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $34.67 Median $45.71 Typical High $74.13 | Professional | None | $34.67 | $45.71 | $74.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $51.29 Median $74.13 Typical High $102.33 | Facility | None | $51.29 | $74.13 | $102.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $40.74 Median $46.77 Typical High $52.48 | Professional | None | $40.74 | $46.77 | $52.48 |
Select Health Setting Facility Modifier None Typical Low $34.67 Median $35.48 Typical High $57.54 | Facility | None | $34.67 | $35.48 | $57.54 |
Select Health Setting Professional Modifier None Typical Low $24.55 Median $32.36 Typical High $57.54 | Professional | None | $24.55 | $32.36 | $57.54 |
United Setting Professional Modifier None Typical Low $34.67 Median $43.65 Typical High $61.66 | Professional | None | $34.67 | $43.65 | $61.66 |
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 $33.88 Median $33.88 Typical High $43.65 | Professional | 78 · Unplanned return to OR | $33.88 | $33.88 | $43.65 |
Where Idaho sits
The same service costs 2.4 times more in Alaska than in Louisiana. 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· 6th of 51
$46.77
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.