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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $512.86 Typical High $512.86 | Professional | None | $181.97 | $512.86 | $512.86 |
BCBS Setting Facility Modifier None Typical Low $263.03 Median $446.68 Typical High $933.25 | Facility | None | $263.03 | $446.68 | $933.25 |
BCBS Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $263.03 | Professional | None | $223.87 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Moda Health Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $512.86 | Facility | None | $263.03 | $263.03 | $512.86 |
Moda Health Setting Professional Modifier None Typical Low $263.03 Median $309.03 Typical High $512.86 | Professional | None | $263.03 | $309.03 | $512.86 |
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 $263.03 Median $263.03 Typical High $389.05 | Facility | None | $263.03 | $263.03 | $389.05 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $263.03 Median $275.42 Typical High $389.05 | Professional | None | $263.03 | $275.42 | $389.05 |
Regence BlueShield Setting Facility Modifier None Typical Low $389.05 Median $588.84 Typical High $933.25 | Facility | None | $389.05 | $588.84 | $933.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $275.42 | Professional | None | $223.87 | $223.87 | $275.42 |
Select Health Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $338.84 | Facility | None | $263.03 | $263.03 | $338.84 |
Select Health Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $371.54 | Professional | None | $263.03 | $263.03 | $371.54 |
United Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $416.87 | Professional | None | $109.65 | $109.65 | $416.87 |
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 $181.97 Median $186.21 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $181.97 | $186.21 | $186.21 |
Where Idaho sits
The same service costs 5.4 times more in Alaska 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· 17th of 51
$263
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.