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 $8,709.64 Median $8,709.64 Typical High $8,709.64 | Facility | None | $8,709.64 | $8,709.64 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $4,466.84 Median $9,332.54 Typical High $9,332.54 | Professional | None | $4,466.84 | $9,332.54 | $9,332.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $489.78 Median $7,244.36 Typical High $17,378.01 | Facility | None | $489.78 | $7,244.36 | $17,378.01 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,570.40 Median $4,786.30 Typical High $4,897.79 | Professional | None | $2,570.40 | $4,786.30 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $3,715.35 Median $10,000.00 Typical High $18,620.87 | Facility | None | $3,715.35 | $10,000.00 | $18,620.87 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $7,943.28 | Professional | None | $3,548.13 | $3,548.13 | $7,943.28 |
Moda Health Setting Facility Modifier None Typical Low $4,466.84 Median $4,786.30 Typical High $9,772.37 | Facility | None | $4,466.84 | $4,786.30 | $9,772.37 |
Moda Health Setting Professional Modifier None Typical Low $4,786.30 Median $5,754.40 Typical High $9,332.54 | Professional | None | $4,786.30 | $5,754.40 | $9,332.54 |
Molina Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,168.69 | Professional | None | $3,548.13 | $3,548.13 | $4,168.69 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $4,786.30 Median $7,244.36 Typical High $9,120.11 | Facility | None | $4,786.30 | $7,244.36 | $9,120.11 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $4,786.30 Median $7,244.36 Typical High $9,120.11 | Professional | None | $4,786.30 | $7,244.36 | $9,120.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,244.36 Median $10,715.19 Typical High $17,378.01 | Facility | None | $7,244.36 | $10,715.19 | $17,378.01 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $5,011.87 | Professional | None | $4,073.80 | $4,073.80 | $5,011.87 |
Select Health Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $6,165.95 | Facility | None | $4,786.30 | $4,786.30 | $6,165.95 |
Select Health Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $6,760.83 | Professional | None | $4,786.30 | $4,786.30 | $6,760.83 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $7,585.78 | Professional | None | $1,995.26 | $1,995.26 | $7,585.78 |
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 $3,311.31 Median $3,388.44 Typical High $3,388.44 | Professional | 78 · Unplanned return to OR | $3,311.31 | $3,388.44 | $3,388.44 |
Where Idaho sits
The same service costs 10.7 times more in Alaska than in Kentucky. 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
$5,012
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.