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 $5,370.32 Median $5,370.32 Typical High $5,370.32 | Facility | None | $5,370.32 | $5,370.32 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,089.30 | Professional | None | $1,513.56 | $1,513.56 | $2,089.30 |
BCBS Idaho Setting Facility Modifier None Typical Low $3,019.95 Median $5,248.07 Typical High $10,715.19 | Facility | None | $3,019.95 | $5,248.07 | $10,715.19 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,570.40 Median $3,019.95 Typical High $3,090.30 | Professional | None | $2,570.40 | $3,019.95 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $6,309.57 Typical High $11,748.98 | Facility | None | $2,344.23 | $6,309.57 | $11,748.98 |
Moda Health Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $5,888.44 | Facility | None | $3,019.95 | $3,019.95 | $5,888.44 |
Moda Health Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,630.78 | Professional | None | $3,019.95 | $3,019.95 | $3,630.78 |
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 $3,019.95 Median $3,019.95 Typical High $4,466.84 | Facility | None | $3,019.95 | $3,019.95 | $4,466.84 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,019.95 Median $3,162.28 Typical High $4,466.84 | Professional | None | $3,019.95 | $3,162.28 | $4,466.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,466.84 Median $6,760.83 Typical High $10,715.19 | Facility | None | $4,466.84 | $6,760.83 | $10,715.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,162.28 | Professional | None | $2,570.40 | $2,570.40 | $3,162.28 |
Select Health Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,890.45 | Facility | None | $3,019.95 | $3,019.95 | $3,890.45 |
Select Health Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $4,265.80 | Professional | None | $3,019.95 | $3,019.95 | $4,265.80 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $4,786.30 | Professional | None | $1,258.93 | $1,258.93 | $4,786.30 |
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 $2,089.30 Median $2,137.96 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $2,089.30 | $2,137.96 | $2,137.96 |
Where Idaho sits
The same service costs 25.7 times more in Texas than in Alabama. 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· 24th of 51
$3,020
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.