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 $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $724.44 Typical High $724.44 | Professional | None | $354.81 | $724.44 | $724.44 |
BCBS Setting Facility Modifier None Typical Low $371.54 Median $707.95 Typical High $1,348.96 | Facility | None | $371.54 | $707.95 | $1,348.96 |
BCBS Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $380.19 | Professional | None | $316.23 | $371.54 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $776.25 Typical High $1,479.11 | Facility | None | $295.12 | $776.25 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $281.84 Typical High $616.60 | Professional | None | $158.49 | $281.84 | $616.60 |
Moda Health Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $724.44 | Facility | None | $371.54 | $371.54 | $724.44 |
Moda Health Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $724.44 | Professional | None | $371.54 | $436.52 | $724.44 |
Molina Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $323.59 | Professional | None | $275.42 | $275.42 | $323.59 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $371.54 Median $562.34 Typical High $707.95 | Facility | None | $371.54 | $562.34 | $707.95 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $371.54 Median $562.34 Typical High $707.95 | Professional | None | $371.54 | $562.34 | $707.95 |
Regence BlueShield Setting Facility Modifier None Typical Low $562.34 Median $851.14 Typical High $1,348.96 | Facility | None | $562.34 | $851.14 | $1,348.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $398.11 | Professional | None | $316.23 | $316.23 | $398.11 |
Select Health Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $489.78 | Facility | None | $371.54 | $371.54 | $489.78 |
Select Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $537.03 | Professional | None | $371.54 | $371.54 | $537.03 |
United Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $602.56 | Professional | None | $158.49 | $158.49 | $602.56 |
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 $263.03 Median $269.15 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $263.03 | $269.15 | $269.15 |
Where Idaho sits
The same service costs 6.5 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· 18th of 51
$398
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.