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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $426.58 Typical High $426.58 | Professional | None | $208.93 | $426.58 | $426.58 |
BCBS Idaho Setting Facility Modifier None Typical Low $218.78 Median $501.19 Typical High $794.33 | Facility | None | $218.78 | $501.19 | $794.33 |
BCBS Idaho Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $223.87 | Professional | None | $186.21 | $218.78 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $457.09 Typical High $851.14 | Facility | None | $173.78 | $457.09 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $407.38 | Professional | None | $165.96 | $165.96 | $407.38 |
Moda Health Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $426.58 | Facility | None | $218.78 | $218.78 | $426.58 |
Moda Health Setting Professional Modifier None Typical Low $218.78 Median $251.19 Typical High $426.58 | Professional | None | $218.78 | $251.19 | $426.58 |
Molina Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $190.55 | Professional | None | $162.18 | $162.18 | $190.55 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $218.78 Median $331.13 Typical High $416.87 | Facility | None | $218.78 | $331.13 | $416.87 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $218.78 Median $331.13 Typical High $416.87 | Professional | None | $218.78 | $331.13 | $416.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $331.13 Median $524.81 Typical High $794.33 | Facility | None | $331.13 | $524.81 | $794.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $234.42 | Professional | None | $186.21 | $186.21 | $234.42 |
Select Health Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $288.40 | Facility | None | $218.78 | $218.78 | $288.40 |
Select Health Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $316.23 | Professional | None | $218.78 | $218.78 | $316.23 |
United Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $478.63 | Professional | None | $93.33 | $125.89 | $478.63 |
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 $154.88 Median $158.49 Typical High $158.49 | Professional | 78 · Unplanned return to OR | $154.88 | $158.49 | $158.49 |
Where Idaho sits
The same service costs 3.1 times more in Alaska than in New Jersey. 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· 14th of 51
$263
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.