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 $61.66 Median $93.33 Typical High $93.33 | Professional | None | $61.66 | $93.33 | $93.33 |
BCBS Idaho Setting Facility Modifier None Typical Low $89.13 Median $102.33 Typical High $173.78 | Facility | None | $89.13 | $102.33 | $173.78 |
BCBS Idaho Setting Professional Modifier None Typical Low $75.86 Median $112.20 Typical High $117.49 | Professional | None | $75.86 | $112.20 | $117.49 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $70.79 Median $79.43 Typical High $83.18 | Professional | 78 · Unplanned return to OR | $70.79 | $79.43 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $63.10 | Facility | None | $60.26 | $60.26 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $60.26 | Professional | None | $43.65 | $43.65 | $60.26 |
Moda Health Setting Facility Modifier None Typical Low $30.90 Median $93.33 Typical High $107.15 | Facility | None | $30.90 | $93.33 | $107.15 |
Moda Health Setting Professional Modifier None Typical Low $70.79 Median $93.33 Typical High $112.20 | Professional | None | $70.79 | $93.33 | $112.20 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $77.62 Typical High $91.20 | Professional | None | $30.20 | $77.62 | $91.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $77.62 Median $134.90 Typical High $6,456.54 | Facility | None | $77.62 | $134.90 | $6,456.54 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $107.15 Median $134.90 Typical High $7,585.78 | Professional | None | $107.15 | $134.90 | $7,585.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $100.00 Median $102.33 Typical High $154.88 | Facility | None | $100.00 | $102.33 | $154.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $112.20 | Professional | None | $75.86 | $75.86 | $112.20 |
Select Health Setting Facility Modifier None Typical Low $100.00 Median $107.15 Typical High $138.04 | Facility | None | $100.00 | $107.15 | $138.04 |
Select Health Setting Professional Modifier None Typical Low $69.18 Median $107.15 Typical High $117.49 | Professional | None | $69.18 | $107.15 | $117.49 |
United Setting Professional Modifier None Typical Low $37.15 Median $47.86 Typical High $70.79 | Professional | None | $37.15 | $47.86 | $70.79 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $6.03 | Professional | RR · Rental | $5.13 | $5.13 | $6.03 |
Where Idaho sits
The same service costs 2.5 times more in Kansas than in Florida. 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
$93.33
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.