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 $9,120.11 Median $9,120.11 Typical High $9,120.11 | Facility | None | $9,120.11 | $9,120.11 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $4,677.35 Median $9,772.37 Typical High $9,772.37 | Professional | None | $4,677.35 | $9,772.37 | $9,772.37 |
BCBS Idaho Setting Facility Modifier None Typical Low $5,011.87 Median $9,332.54 Typical High $18,197.01 | Facility | None | $5,011.87 | $9,332.54 | $18,197.01 |
BCBS Idaho Setting Professional Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $5,128.61 | Professional | None | $4,265.80 | $5,011.87 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $19,498.45 Median $19,498.45 Typical High $19,498.45 | Facility | None | $19,498.45 | $19,498.45 | $19,498.45 |
Moda Health Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $9,772.37 | Facility | None | $5,011.87 | $5,011.87 | $9,772.37 |
Moda Health Setting Professional Modifier None Typical Low $5,011.87 Median $6,025.60 Typical High $9,772.37 | Professional | None | $5,011.87 | $6,025.60 | $9,772.37 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $7,585.78 | Facility | None | $5,011.87 | $5,011.87 | $7,585.78 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $5,011.87 Median $5,248.07 Typical High $7,585.78 | Professional | None | $5,011.87 | $5,248.07 | $7,585.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,585.78 Median $11,748.98 Typical High $18,197.01 | Facility | None | $7,585.78 | $11,748.98 | $18,197.01 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $5,248.07 | Professional | None | $4,265.80 | $4,265.80 | $5,248.07 |
Select Health Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $6,456.54 | Facility | None | $5,011.87 | $5,011.87 | $6,456.54 |
Select Health Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $7,079.46 | Professional | None | $5,011.87 | $5,011.87 | $7,079.46 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $7,943.28 | Professional | None | $2,089.30 | $2,089.30 | $7,943.28 |
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 $3,467.37 Median $3,548.13 Typical High $3,548.13 | Professional | 78 · Unplanned return to OR | $3,467.37 | $3,548.13 | $3,548.13 |
Where Idaho sits
The same service costs 12.0 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· 11th of 51
$5,129
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.