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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $173.78 Typical High $173.78 | Professional | None | $83.18 | $173.78 | $173.78 |
BCBS Setting Facility Modifier None Typical Low $89.13 Median $151.36 Typical High $316.23 | Facility | None | $89.13 | $151.36 | $316.23 |
BCBS Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $89.13 | Professional | None | $74.13 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $181.97 Typical High $346.74 | Facility | None | $69.18 | $181.97 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $144.54 | Professional | None | $66.07 | $66.07 | $144.54 |
Moda Health Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $173.78 | Facility | None | $89.13 | $89.13 | $173.78 |
Moda Health Setting Professional Modifier None Typical Low $89.13 Median $102.33 Typical High $173.78 | Professional | None | $89.13 | $102.33 | $173.78 |
Molina Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $75.86 | Professional | None | $64.57 | $64.57 | $75.86 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $89.13 Median $131.83 Typical High $165.96 | Facility | None | $89.13 | $131.83 | $165.96 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $89.13 Median $131.83 Typical High $165.96 | Professional | None | $89.13 | $131.83 | $165.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $131.83 Median $199.53 Typical High $316.23 | Facility | None | $131.83 | $199.53 | $316.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $93.33 | Professional | None | $74.13 | $74.13 | $93.33 |
Select Health Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $114.82 | Facility | None | $89.13 | $89.13 | $114.82 |
Select Health Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $125.89 | Professional | None | $89.13 | $89.13 | $125.89 |
United Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $141.25 | Professional | None | $37.15 | $37.15 | $141.25 |
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 $61.66 Median $63.10 Typical High $63.10 | Professional | 78 · Unplanned return to OR | $61.66 | $63.10 | $63.10 |
Where Idaho sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$93.33
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.