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 $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $5,011.87 Typical High $5,011.87 | Professional | None | $1,819.70 | $5,011.87 | $5,011.87 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,570.40 Median $4,365.16 Typical High $9,332.54 | Facility | None | $2,570.40 | $4,365.16 | $9,332.54 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,187.76 Median $2,570.40 Typical High $2,630.27 | Professional | None | $2,187.76 | $2,570.40 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Facility | None | $10,000.00 | $10,000.00 | $10,000.00 |
Moda Health Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $5,011.87 | Facility | None | $2,570.40 | $2,570.40 | $5,011.87 |
Moda Health Setting Professional Modifier None Typical Low $2,570.40 Median $3,090.30 Typical High $5,011.87 | Professional | None | $2,570.40 | $3,090.30 | $5,011.87 |
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 $2,570.40 Median $2,570.40 Typical High $3,890.45 | Facility | None | $2,570.40 | $2,570.40 | $3,890.45 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,570.40 Median $2,691.53 Typical High $3,890.45 | Professional | None | $2,570.40 | $2,691.53 | $3,890.45 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,890.45 Median $5,754.40 Typical High $9,332.54 | Facility | None | $3,890.45 | $5,754.40 | $9,332.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,691.53 | Professional | None | $2,187.76 | $2,187.76 | $2,691.53 |
Select Health Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,311.31 | Facility | None | $2,570.40 | $2,570.40 | $3,311.31 |
Select Health Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,630.78 | Professional | None | $2,570.40 | $2,570.40 | $3,630.78 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $4,073.80 | Professional | None | $1,071.52 | $1,071.52 | $4,073.80 |
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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,819.70 | $1,819.70 | $1,819.70 |
Where Idaho sits
The same service costs 204.2 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· 10th of 51
$2,630
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.