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 $3.02 Median $3.09 Typical High $3.09 | Professional | None | $3.02 | $3.09 | $3.09 |
BCBS Idaho Setting Facility Modifier None Typical Low $1.15 Median $2.75 Typical High $5.50 | Facility | None | $1.15 | $2.75 | $5.50 |
BCBS Idaho Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $12.30 | Professional | None | $10.96 | $10.96 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $3.47 Typical High $8.32 | Facility | None | $3.39 | $3.47 | $8.32 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
Moda Health Setting Facility Modifier None Typical Low $3.09 Median $3.09 Typical High $4.47 | Facility | None | $3.09 | $3.09 | $4.47 |
Moda Health Setting Professional Modifier None Typical Low $3.02 Median $3.09 Typical High $3.09 | Professional | None | $3.02 | $3.09 | $3.09 |
Molina Setting Professional Modifier None Typical Low $2.82 Median $3.31 Typical High $30.20 | Professional | None | $2.82 | $3.31 | $30.20 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $8.91 | Professional | None | $7.76 | $7.76 | $8.91 |
Select Health Setting Facility Modifier None Typical Low $2.45 Median $2.82 Typical High $3.98 | Facility | None | $2.45 | $2.82 | $3.98 |
Select Health Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | None | $1.00 | $1.00 | $1.00 |
United Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
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 $30.20 Median $30.20 Typical High $30.20 | Professional | 78 · Unplanned return to OR | $30.20 | $30.20 | $30.20 |
Where Idaho sits
The same service costs 2.3 times more in Alaska than in Minnesota. 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· 22nd of 51
$3.09
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.