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 $12.30 Median $12.30 Typical High $21.38 | Professional | None | $12.30 | $12.30 | $21.38 |
BCBS Idaho Setting Facility Modifier None Typical Low $29.51 Median $38.90 Typical High $75.86 | Facility | None | $29.51 | $38.90 | $75.86 |
BCBS Idaho Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $32.36 | Professional | None | $21.38 | $21.38 | $32.36 |
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 $12.30 Median $12.30 Typical High $20.89 | Facility | None | $12.30 | $12.30 | $20.89 |
Moda Health Setting Professional Modifier None Typical Low $12.30 Median $17.38 Typical High $26.92 | Professional | None | $12.30 | $17.38 | $26.92 |
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 $15.85 Median $17.78 Typical High $25.70 | Facility | None | $15.85 | $17.78 | $25.70 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3.55 Median $17.78 Typical High $30.20 | Professional | None | $3.55 | $17.78 | $30.20 |
Regence BlueShield Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $22.91 | Professional | None | $21.38 | $21.38 | $22.91 |
Select Health Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $75.86 | Facility | None | $14.45 | $14.45 | $75.86 |
Select Health Setting Professional Modifier None Typical Low $14.45 Median $14.79 Typical High $30.90 | Professional | None | $14.45 | $14.79 | $30.90 |
United Setting Professional Modifier None Typical Low $18.20 Median $24.55 Typical High $32.36 | Professional | None | $18.20 | $24.55 | $32.36 |
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 $17.38 Median $21.88 Typical High $22.91 | Professional | 78 · Unplanned return to OR | $17.38 | $21.88 | $22.91 |
Where Idaho sits
The same service costs 3.2 times more in Alaska than in New York. 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· 20th of 51
$20.89
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.