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 $5.89 Median $5.89 Typical High $11.22 | Facility | None | $5.89 | $5.89 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $9.77 | Professional | None | $5.01 | $5.01 | $9.77 |
BCBS Idaho Setting Facility Modifier None Typical Low $24.55 Median $43.65 Typical High $107.15 | Facility | None | $24.55 | $43.65 | $107.15 |
BCBS Idaho Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $14.45 | Professional | None | $9.33 | $9.33 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | None | $6.46 | $6.46 | $6.46 |
Moda Health Setting Facility Modifier None Typical Low $5.01 Median $5.89 Typical High $9.77 | Facility | None | $5.01 | $5.89 | $9.77 |
Moda Health Setting Professional Modifier None Typical Low $5.01 Median $7.76 Typical High $12.30 | Professional | None | $5.01 | $7.76 | $12.30 |
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 $6.92 Median $7.94 Typical High $11.22 | Facility | None | $6.92 | $7.94 | $11.22 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1.58 Median $7.94 Typical High $13.18 | Professional | None | $1.58 | $7.94 | $13.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $47.86 Median $70.79 Typical High $97.72 | Facility | None | $47.86 | $70.79 | $97.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $10.96 | Professional | None | $9.33 | $9.33 | $10.96 |
Select Health Setting Facility Modifier None Typical Low $6.31 Median $6.46 Typical High $107.15 | Facility | None | $6.31 | $6.46 | $107.15 |
Select Health Setting Professional Modifier None Typical Low $6.03 Median $6.76 Typical High $12.88 | Professional | None | $6.03 | $6.76 | $12.88 |
United Setting Professional Modifier None Typical Low $9.12 Median $12.30 Typical High $18.62 | Professional | None | $9.12 | $12.30 | $18.62 |
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 $7.41 Median $9.55 Typical High $10.00 | Professional | 78 · Unplanned return to OR | $7.41 | $9.55 | $10.00 |
Where Idaho sits
The same service costs 3.2 times more in Massachusetts 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· 27th of 51
$9.33
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.