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 $14.45 Median $18.62 Typical High $46.77 | Professional | None | $14.45 | $18.62 | $46.77 |
BCBS Idaho Setting Professional Modifier None Typical Low $22.39 Median $24.55 Typical High $28.18 | Professional | None | $22.39 | $24.55 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Moda Health Setting Professional Modifier None Typical Low $3.72 Median $18.20 Typical High $34.67 | Professional | None | $3.72 | $18.20 | $34.67 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $15.14 Median $20.89 Typical High $28.18 | Facility | None | $15.14 | $20.89 | $28.18 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $17.38 Median $20.89 Typical High $34.67 | Professional | None | $17.38 | $20.89 | $34.67 |
Regence BlueShield Setting Professional Modifier None Typical Low $19.95 Median $24.55 Typical High $24.55 | Professional | None | $19.95 | $24.55 | $24.55 |
Select Health Setting Facility Modifier None Typical Low $15.49 Median $16.60 Typical High $16.98 | Facility | None | $15.49 | $16.60 | $16.98 |
Select Health Setting Professional Modifier None Typical Low $13.18 Median $16.60 Typical High $26.92 | Professional | None | $13.18 | $16.60 | $26.92 |
United Setting Professional Modifier None Typical Low $17.78 Median $22.39 Typical High $30.90 | Professional | None | $17.78 | $22.39 | $30.90 |
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 $16.22 Median $16.22 Typical High $20.42 | Professional | 78 · Unplanned return to OR | $16.22 | $16.22 | $20.42 |
Where Idaho sits
The same service costs 5.1 times more in Alaska than in Maine. 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
$24.55
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.