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 Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $64.57 | Facility | None | $51.29 | $51.29 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $58.88 | Professional | None (both parts) | $51.29 | $51.29 | $58.88 |
BCBS Idaho Setting Facility Modifier None Typical Low $48.98 Median $52.48 Typical High $154.88 | Facility | None | $48.98 | $52.48 | $154.88 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $43.65 Median $51.29 Typical High $52.48 | Professional | None (both parts) | $43.65 | $51.29 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Moda Health Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $87.10 | Facility | None | $51.29 | $51.29 | $87.10 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $61.66 | Professional | None (both parts) | $51.29 | $51.29 | $61.66 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $38.02 Typical High $44.67 | Professional | None (both parts) | $30.20 | $38.02 | $44.67 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $51.29 Median $56.23 Typical High $85.11 | Facility | None | $51.29 | $56.23 | $85.11 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $51.29 Median $53.70 Typical High $100.00 | Professional | None (both parts) | $51.29 | $53.70 | $100.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $77.62 Median $114.82 Typical High $186.21 | Facility | None | $77.62 | $114.82 | $186.21 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $53.70 | Professional | None (both parts) | $43.65 | $43.65 | $53.70 |
Select Health Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $102.33 | Facility | None | $51.29 | $51.29 | $102.33 |
Select Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $72.44 | Professional | None (both parts) | $51.29 | $51.29 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $81.28 | Professional | None (both parts) | $21.38 | $21.38 | $81.28 |
4 more rates 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 $36.31 Median $36.31 Typical High $36.31 | Professional | 78 · Unplanned return to OR | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
MountainHealth Co-op Setting Professional Modifier QW · Waived lab test Typical Low $51.29 Median $53.70 Typical High $77.62 | Professional | QW · Waived lab test | $51.29 | $53.70 | $77.62 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $61.66 | Professional | TC · Technical part | $58.88 | $58.88 | $61.66 |
Where Idaho sits
The same service costs 3.1 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· 18th of 51
$51.29
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.