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 $12.88 Median $21.88 Typical High $23.44 | Professional | None | $12.88 | $21.88 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $10.96 Typical High $11.75 | Professional | 52 · Reduced service | $6.46 | $10.96 | $11.75 |
BCBS Idaho Setting Facility Modifier None Typical Low $48.98 Median $64.57 Typical High $102.33 | Facility | None | $48.98 | $64.57 | $102.33 |
BCBS Idaho Setting Professional Modifier None Typical Low $16.98 Median $17.78 Typical High $20.89 | Professional | None | $16.98 | $17.78 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $17.78 | Professional | None | $11.75 | $11.75 | $17.78 |
Moda Health Setting Facility Modifier None Typical Low $13.18 Median $21.88 Typical High $30.90 | Facility | None | $13.18 | $21.88 | $30.90 |
Moda Health Setting Professional Modifier None Typical Low $13.18 Median $21.88 Typical High $23.44 | Professional | None | $13.18 | $21.88 | $23.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $10.96 Typical High $11.75 | Professional | 52 · Reduced service | $6.61 | $10.96 | $11.75 |
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 $10.72 Median $14.79 Typical High $20.89 | Facility | None | $10.72 | $14.79 | $20.89 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $12.02 Median $15.85 Typical High $25.70 | Professional | None | $12.02 | $15.85 | $25.70 |
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 $14.13 Median $16.98 Typical High $18.62 | Professional | None | $14.13 | $16.98 | $18.62 |
Select Health Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.30 | Facility | None | $12.02 | $12.02 | $12.30 |
Select Health Setting Professional Modifier None Typical Low $11.75 Median $20.89 Typical High $31.62 | Professional | None | $11.75 | $20.89 | $31.62 |
United Setting Professional Modifier None Typical Low $12.02 Median $15.49 Typical High $21.38 | Professional | None | $12.02 | $15.49 | $21.38 |
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 $12.30 Median $12.30 Typical High $16.60 | Professional | 78 · Unplanned return to OR | $12.30 | $12.30 | $16.60 |
Where Idaho sits
The same service costs 6.3 times more in Alaska than in Arizona. 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
$18.62
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.