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 $7.41 Median $7.41 Typical High $11.22 | Professional | None | $7.41 | $7.41 | $11.22 |
BCBS Idaho Setting Facility Modifier None Typical Low $13.80 Median $19.50 Typical High $34.67 | Facility | None | $13.80 | $19.50 | $34.67 |
BCBS Idaho Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $18.20 | Professional | None | $12.02 | $12.02 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | None | $7.76 | $7.76 | $7.76 |
Moda Health Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $11.22 | Facility | None | $7.41 | $7.41 | $11.22 |
Moda Health Setting Professional Modifier None Typical Low $7.41 Median $9.33 Typical High $14.45 | Professional | None | $7.41 | $9.33 | $14.45 |
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 $8.71 Median $10.00 Typical High $14.45 | Facility | None | $8.71 | $10.00 | $14.45 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2.00 Median $10.00 Typical High $16.98 | Professional | None | $2.00 | $10.00 | $16.98 |
Regence BlueShield Setting Professional Modifier None Typical Low $11.75 Median $12.02 Typical High $12.02 | Professional | None | $11.75 | $12.02 | $12.02 |
Select Health Setting Facility Modifier None Typical Low $7.94 Median $8.13 Typical High $34.67 | Facility | None | $7.94 | $8.13 | $34.67 |
Select Health Setting Professional Modifier None Typical Low $7.94 Median $8.32 Typical High $17.78 | Professional | None | $7.94 | $8.32 | $17.78 |
United Setting Professional Modifier None Typical Low $8.71 Median $11.48 Typical High $15.14 | Professional | None | $8.71 | $11.48 | $15.14 |
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 $10.00 Median $12.02 Typical High $12.88 | Professional | 78 · Unplanned return to OR | $10.00 | $12.02 | $12.88 |
Where Idaho sits
The same service costs 3.5 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· 15th of 51
$11.22
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.