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 $5,623.41 Median $5,623.41 Typical High $5,623.41 | Facility | None | $5,623.41 | $5,623.41 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $2,951.21 Median $6,025.60 Typical High $6,025.60 | Professional | None | $2,951.21 | $6,025.60 | $6,025.60 |
BCBS Idaho Setting Facility Modifier None Typical Low $3,090.30 Median $5,495.41 Typical High $11,220.18 | Facility | None | $3,090.30 | $5,495.41 | $11,220.18 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,630.27 Median $3,090.30 Typical High $3,162.28 | Professional | None | $2,630.27 | $3,090.30 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $6,456.54 Typical High $12,022.64 | Facility | None | $2,454.71 | $6,456.54 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $5,128.61 | Professional | None | $2,344.23 | $2,344.23 | $5,128.61 |
Moda Health Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $6,025.60 | Facility | None | $3,090.30 | $3,090.30 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $3,090.30 Median $3,548.13 Typical High $6,025.60 | Professional | None | $3,090.30 | $3,548.13 | $6,025.60 |
Molina Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,691.53 | Professional | None | $2,290.87 | $2,290.87 | $2,691.53 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $3,090.30 Median $4,677.35 Typical High $5,888.44 | Facility | None | $3,090.30 | $4,677.35 | $5,888.44 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,090.30 Median $4,677.35 Typical High $5,888.44 | Professional | None | $3,090.30 | $4,677.35 | $5,888.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,677.35 Median $7,079.46 Typical High $11,220.18 | Facility | None | $4,677.35 | $7,079.46 | $11,220.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,235.94 | Professional | None | $2,630.27 | $2,630.27 | $3,235.94 |
Select Health Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $4,073.80 | Facility | None | $3,090.30 | $3,090.30 | $4,073.80 |
Select Health Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $4,466.84 | Professional | None | $3,090.30 | $3,090.30 | $4,466.84 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $5,011.87 | Professional | None | $1,318.26 | $1,318.26 | $5,011.87 |
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 $2,187.76 Median $2,238.72 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,238.72 | $2,238.72 |
Where Idaho sits
The same service costs 6.0 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· 16th of 51
$3,236
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.