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 $20.42 Median $21.38 Typical High $22.91 | Professional | None | $20.42 | $21.38 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $10.72 Typical High $11.48 | Professional | 52 · Reduced service | $10.23 | $10.72 | $11.48 |
BCBS Idaho Setting Facility Modifier None Typical Low $34.67 Median $107.15 Typical High $269.15 | Facility | None | $34.67 | $107.15 | $269.15 |
BCBS Idaho Setting Professional Modifier None Typical Low $33.11 Median $43.65 Typical High $54.95 | Professional | None | $33.11 | $43.65 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $38.02 | Professional | None | $27.54 | $27.54 | $38.02 |
Moda Health Setting Facility Modifier None Typical Low $20.42 Median $21.38 Typical High $29.51 | Facility | None | $20.42 | $21.38 | $29.51 |
Moda Health Setting Professional Modifier None Typical Low $20.42 Median $21.38 Typical High $22.91 | Professional | None | $20.42 | $21.38 | $22.91 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $10.72 Typical High $11.48 | Professional | 52 · Reduced service | $10.23 | $10.72 | $11.48 |
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 $28.18 Median $38.90 Typical High $54.95 | Facility | None | $28.18 | $38.90 | $54.95 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $31.62 Median $41.69 Typical High $67.61 | Professional | None | $31.62 | $41.69 | $67.61 |
Regence BlueShield Setting Facility Modifier None Typical Low $144.54 Median $208.93 Typical High $288.40 | Facility | None | $144.54 | $208.93 | $288.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $33.11 Median $37.15 Typical High $43.65 | Professional | None | $33.11 | $37.15 | $43.65 |
Select Health Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $33.11 | Facility | None | $32.36 | $32.36 | $33.11 |
Select Health Setting Professional Modifier None Typical Low $23.44 Median $30.90 Typical High $54.95 | Professional | None | $23.44 | $30.90 | $54.95 |
United Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $44.67 | Professional | None | $25.12 | $31.62 | $44.67 |
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 $25.12 Median $25.12 Typical High $40.74 | Professional | 78 · Unplanned return to OR | $25.12 | $25.12 | $40.74 |
Where Idaho sits
The same service costs 2.7 times more in North Dakota than in Kentucky. 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· 7th of 51
$38.02
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.