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 $389.05 Median $389.05 Typical High $407.38 | Facility | None | $389.05 | $389.05 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $323.59 Typical High $363.08 | Professional | None | $194.98 | $323.59 | $363.08 |
BCBS Setting Facility Modifier None Typical Low $177.83 Median $426.58 Typical High $933.25 | Facility | None | $177.83 | $426.58 | $933.25 |
BCBS Setting Professional Modifier None Typical Low $354.81 Median $512.86 Typical High $602.56 | Professional | None | $354.81 | $512.86 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $676.08 Typical High $812.83 | Facility | None | $331.13 | $676.08 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $281.84 Typical High $323.59 | Professional | None | $239.88 | $281.84 | $323.59 |
Moda Health Setting Facility Modifier None Typical Low $213.80 Median $389.05 Typical High $2,691.53 | Facility | None | $213.80 | $389.05 | $2,691.53 |
Moda Health Setting Professional Modifier None Typical Low $263.03 Median $323.59 Typical High $616.60 | Professional | None | $263.03 | $323.59 | $616.60 |
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 $489.78 Median $645.65 Typical High $645.65 | Facility | None | $489.78 | $645.65 | $645.65 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $426.58 Median $645.65 Typical High $758.58 | Professional | None | $426.58 | $645.65 | $758.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $338.84 Median $724.44 Typical High $933.25 | Facility | None | $338.84 | $724.44 | $933.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $389.05 | Professional | None | $323.59 | $354.81 | $389.05 |
Select Health Setting Facility Modifier None Typical Low $281.84 Median $288.40 Typical High $467.74 | Facility | None | $281.84 | $288.40 | $467.74 |
Select Health Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $407.38 | Professional | None | $281.84 | $281.84 | $407.38 |
United Setting Professional Modifier None Typical Low $208.93 Median $316.23 Typical High $457.09 | Professional | None | $208.93 | $316.23 | $457.09 |
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 $354.81 Median $398.11 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $354.81 | $398.11 | $416.87 |
Where Idaho sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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
$363
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.