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 $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $2,089.30 | $4,786.30 | $4,786.30 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,454.71 Median $4,786.30 Typical High $8,912.51 | Facility | None | $2,454.71 | $4,786.30 | $8,912.51 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $2,511.89 | Professional | None | $2,089.30 | $2,454.71 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $5,128.61 Typical High $9,549.93 | Facility | None | $1,905.46 | $5,128.61 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,819.70 Typical High $4,073.80 | Professional | None | $1,023.29 | $1,819.70 | $4,073.80 |
Moda Health Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $4,786.30 | Facility | None | $2,454.71 | $2,454.71 | $4,786.30 |
Moda Health Setting Professional Modifier None Typical Low $2,454.71 Median $2,570.40 Typical High $4,786.30 | Professional | None | $2,454.71 | $2,570.40 | $4,786.30 |
Molina Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,137.96 | Professional | None | $1,778.28 | $1,778.28 | $2,137.96 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $2,454.71 Median $3,715.35 Typical High $4,677.35 | Facility | None | $2,454.71 | $3,715.35 | $4,677.35 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,454.71 Median $3,715.35 Typical High $4,677.35 | Professional | None | $2,454.71 | $3,715.35 | $4,677.35 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,715.35 Median $5,495.41 Typical High $8,912.51 | Facility | None | $3,715.35 | $5,495.41 | $8,912.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,570.40 | Professional | None | $2,089.30 | $2,089.30 | $2,570.40 |
Select Health Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,162.28 | Facility | None | $2,454.71 | $2,454.71 | $3,162.28 |
Select Health Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,467.37 | Professional | None | $2,454.71 | $2,454.71 | $3,467.37 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $3,890.45 | Professional | None | $1,023.29 | $1,023.29 | $3,890.45 |
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 $1,698.24 Median $1,737.80 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,698.24 | $1,737.80 | $1,737.80 |
Where Idaho sits
The same service costs 5.4 times more in Alaska 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· 14th of 51
$2,570
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.