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 $6,456.54 Median $6,456.54 Typical High $6,456.54 | Facility | None | $6,456.54 | $6,456.54 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $7,079.46 Typical High $7,079.46 | Professional | None | $2,511.89 | $7,079.46 | $7,079.46 |
BCBS Idaho Setting Facility Modifier None Typical Low $3,630.78 Median $6,165.95 Typical High $12,882.50 | Facility | None | $3,630.78 | $6,165.95 | $12,882.50 |
BCBS Idaho Setting Professional Modifier None Typical Low $3,090.30 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,090.30 | $3,630.78 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $14,125.38 Median $14,125.38 Typical High $14,125.38 | Facility | None | $14,125.38 | $14,125.38 | $14,125.38 |
Moda Health Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $7,079.46 | Facility | None | $3,630.78 | $3,630.78 | $7,079.46 |
Moda Health Setting Professional Modifier None Typical Low $3,630.78 Median $4,365.16 Typical High $7,079.46 | Professional | None | $3,630.78 | $4,365.16 | $7,079.46 |
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 $3,630.78 Median $3,630.78 Typical High $5,370.32 | Facility | None | $3,630.78 | $3,630.78 | $5,370.32 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,630.78 Median $3,801.89 Typical High $5,370.32 | Professional | None | $3,630.78 | $3,801.89 | $5,370.32 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,370.32 Median $8,128.31 Typical High $12,882.50 | Facility | None | $5,370.32 | $8,128.31 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,801.89 | Professional | None | $3,090.30 | $3,090.30 | $3,801.89 |
Select Health Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $4,677.35 | Facility | None | $3,630.78 | $3,630.78 | $4,677.35 |
Select Health Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $5,128.61 | Professional | None | $3,630.78 | $3,630.78 | $5,128.61 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $5,754.40 | Professional | None | $1,513.56 | $1,513.56 | $5,754.40 |
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 $2,511.89 Median $2,570.40 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $2,511.89 | $2,570.40 | $2,570.40 |
Where Idaho sits
The same service costs 8.9 times more in Texas than in New Mexico. 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
$3,631
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.