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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $851.14 Typical High $851.14 | Professional | None | $416.87 | $851.14 | $851.14 |
BCBS Setting Facility Modifier None Typical Low $204.17 Median $436.52 Typical High $1,584.89 | Facility | None | $204.17 | $436.52 | $1,584.89 |
BCBS Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $446.68 | Professional | None | $371.54 | $436.52 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $912.01 Typical High $1,698.24 | Facility | None | $346.74 | $912.01 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $724.44 | Professional | None | $331.13 | $331.13 | $724.44 |
Moda Health Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $851.14 | Facility | None | $436.52 | $436.52 | $851.14 |
Moda Health Setting Professional Modifier None Typical Low $436.52 Median $501.19 Typical High $851.14 | Professional | None | $436.52 | $501.19 | $851.14 |
Molina Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $380.19 | Professional | None | $323.59 | $323.59 | $380.19 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $436.52 Median $660.69 Typical High $831.76 | Facility | None | $436.52 | $660.69 | $831.76 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $436.52 Median $660.69 Typical High $831.76 | Professional | None | $436.52 | $660.69 | $831.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $1,584.89 | Facility | None | $549.54 | $870.96 | $1,584.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $457.09 | Professional | None | $371.54 | $371.54 | $457.09 |
Select Health Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $575.44 | Facility | None | $436.52 | $436.52 | $575.44 |
Select Health Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $630.96 | Professional | None | $436.52 | $436.52 | $630.96 |
United Setting Professional Modifier None Typical Low $74.13 Median $186.21 Typical High $281.84 | Professional | None | $74.13 | $186.21 | $281.84 |
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 $309.03 Median $316.23 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $309.03 | $316.23 | $316.23 |
Where Idaho sits
The same service costs 7.1 times more in Texas than in North Carolina. 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· 12th of 51
$447
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.