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 $7,585.78 Median $7,585.78 Typical High $7,585.78 | Facility | None | $7,585.78 | $7,585.78 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $8,128.31 Typical High $8,128.31 | Professional | None | $3,890.45 | $8,128.31 | $8,128.31 |
BCBS Idaho Setting Facility Modifier None Typical Low $4,168.69 Median $7,762.47 Typical High $15,135.61 | Facility | None | $4,168.69 | $7,762.47 | $15,135.61 |
BCBS Idaho Setting Professional Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $4,265.80 | Professional | None | $3,548.13 | $4,168.69 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $16,218.10 Median $16,218.10 Typical High $16,218.10 | Facility | None | $16,218.10 | $16,218.10 | $16,218.10 |
Moda Health Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $8,128.31 | Facility | None | $4,168.69 | $4,168.69 | $8,128.31 |
Moda Health Setting Professional Modifier None Typical Low $4,168.69 Median $5,011.87 Typical High $8,128.31 | Professional | None | $4,168.69 | $5,011.87 | $8,128.31 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $6,309.57 | Facility | None | $4,168.69 | $4,168.69 | $6,309.57 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $4,168.69 Median $4,365.16 Typical High $6,309.57 | Professional | None | $4,168.69 | $4,365.16 | $6,309.57 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,309.57 Median $10,000.00 Typical High $15,135.61 | Facility | None | $6,309.57 | $10,000.00 | $15,135.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,365.16 | Professional | None | $3,548.13 | $3,548.13 | $4,365.16 |
Select Health Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $5,495.41 | Facility | None | $4,168.69 | $4,168.69 | $5,495.41 |
Select Health Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $5,888.44 | Professional | None | $4,168.69 | $4,168.69 | $5,888.44 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $6,760.83 | Professional | None | $1,737.80 | $1,737.80 | $6,760.83 |
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 $2,951.21 Median $3,019.95 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $2,951.21 | $3,019.95 | $3,019.95 |
Where Idaho sits
The same service costs 67.6 times more in Texas than in Ohio. 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· 11th of 51
$4,266
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.