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 $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $467.74 Typical High $467.74 | Professional | None | $229.09 | $467.74 | $467.74 |
BCBS Idaho Setting Facility Modifier None Typical Low $239.88 Median $478.63 Typical High $870.96 | Facility | None | $239.88 | $478.63 | $870.96 |
BCBS Idaho Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $245.47 | Professional | None | $204.17 | $239.88 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $501.19 Typical High $933.25 | Facility | None | $190.55 | $501.19 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $181.97 Typical High $446.68 | Professional | None | $141.25 | $181.97 | $446.68 |
Moda Health Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $467.74 | Facility | None | $239.88 | $239.88 | $467.74 |
Moda Health Setting Professional Modifier None Typical Low $239.88 Median $275.42 Typical High $467.74 | Professional | None | $239.88 | $275.42 | $467.74 |
Molina Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $208.93 | Professional | None | $177.83 | $177.83 | $208.93 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $457.09 | Facility | None | $239.88 | $363.08 | $457.09 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $457.09 | Professional | None | $239.88 | $363.08 | $457.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $363.08 Median $575.44 Typical High $870.96 | Facility | None | $363.08 | $575.44 | $870.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $251.19 | Professional | None | $204.17 | $204.17 | $251.19 |
Select Health Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $316.23 | Facility | None | $239.88 | $239.88 | $316.23 |
Select Health Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $346.74 | Professional | None | $239.88 | $239.88 | $346.74 |
United Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $524.81 | Professional | None | $102.33 | $138.04 | $524.81 |
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 $169.82 Median $173.78 Typical High $173.78 | Professional | 78 · Unplanned return to OR | $169.82 | $173.78 | $173.78 |
Where Idaho sits
The same service costs 4.3 times more in Texas than in Delaware. 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· 23rd of 51
$251
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.