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 $6,165.95 Median $6,165.95 Typical High $6,165.95 | Facility | None | $6,165.95 | $6,165.95 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $3,235.94 Median $6,760.83 Typical High $6,760.83 | Professional | None | $3,235.94 | $6,760.83 | $6,760.83 |
BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $6,456.54 Typical High $12,302.69 | Facility | None | $3,467.37 | $6,456.54 | $12,302.69 |
BCBS Setting Professional Modifier None Typical Low $2,951.21 Median $3,467.37 Typical High $3,467.37 | Professional | None | $2,951.21 | $3,467.37 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $13,489.63 Median $13,489.63 Typical High $13,489.63 | Facility | None | $13,489.63 | $13,489.63 | $13,489.63 |
Moda Health Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $6,760.83 | Facility | None | $3,467.37 | $3,467.37 | $6,760.83 |
Moda Health Setting Professional Modifier None Typical Low $3,467.37 Median $4,168.69 Typical High $6,760.83 | Professional | None | $3,467.37 | $4,168.69 | $6,760.83 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $5,128.61 | Facility | None | $3,467.37 | $3,467.37 | $5,128.61 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,467.37 Median $3,630.78 Typical High $5,128.61 | Professional | None | $3,467.37 | $3,630.78 | $5,128.61 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,128.61 Median $8,128.31 Typical High $12,302.69 | Facility | None | $5,128.61 | $8,128.31 | $12,302.69 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,630.78 | Professional | None | $2,951.21 | $2,951.21 | $3,630.78 |
Select Health Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,466.84 | Facility | None | $3,467.37 | $3,467.37 | $4,466.84 |
Select Health Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,897.79 | Professional | None | $3,467.37 | $3,467.37 | $4,897.79 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $5,495.41 | Professional | None | $1,445.44 | $1,445.44 | $5,495.41 |
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 $2,398.83 Median $2,454.71 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $2,398.83 | $2,454.71 | $2,454.71 |
Where Idaho sits
The same service costs 35.5 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· 15th of 51
$3,467
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.