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 $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $4,168.69 Typical High $4,168.69 | Professional | None | $1,479.11 | $4,168.69 | $4,168.69 |
BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $3,630.78 Typical High $7,585.78 | Facility | None | $2,137.96 | $3,630.78 | $7,585.78 |
BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $2,137.96 Typical High $2,187.76 | Professional | None | $1,819.70 | $2,137.96 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Facility | None | $8,317.64 | $8,317.64 | $8,317.64 |
Moda Health Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $4,168.69 | Facility | None | $2,137.96 | $2,137.96 | $4,168.69 |
Moda Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,570.40 Typical High $4,168.69 | Professional | None | $2,137.96 | $2,570.40 | $4,168.69 |
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 $2,137.96 Median $2,137.96 Typical High $3,162.28 | Facility | None | $2,137.96 | $2,137.96 | $3,162.28 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,137.96 Median $2,238.72 Typical High $3,162.28 | Professional | None | $2,137.96 | $2,238.72 | $3,162.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,162.28 Median $4,786.30 Typical High $7,585.78 | Facility | None | $3,162.28 | $4,786.30 | $7,585.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,238.72 | Professional | None | $1,819.70 | $1,819.70 | $2,238.72 |
Select Health Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,754.23 | Facility | None | $2,137.96 | $2,137.96 | $2,754.23 |
Select Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $3,019.95 | Professional | None | $2,137.96 | $2,137.96 | $3,019.95 |
United Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $3,388.44 | Professional | None | $891.25 | $891.25 | $3,388.44 |
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 Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,513.56 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,513.56 | $1,513.56 |
Where Idaho sits
The same service costs 229.1 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
$2,188
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.