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 $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $5,623.41 Typical High $5,623.41 | Professional | None | $2,691.53 | $5,623.41 | $5,623.41 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,884.03 Median $5,011.87 Typical High $10,232.93 | Facility | None | $2,884.03 | $5,011.87 | $10,232.93 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,454.71 Median $2,884.03 Typical High $2,951.21 | Professional | None | $2,454.71 | $2,884.03 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $6,025.60 Typical High $11,220.18 | Facility | None | $2,238.72 | $6,025.60 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $4,786.30 | Professional | None | $2,137.96 | $2,137.96 | $4,786.30 |
Moda Health Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $5,623.41 | Facility | None | $2,884.03 | $2,884.03 | $5,623.41 |
Moda Health Setting Professional Modifier None Typical Low $2,884.03 Median $3,311.31 Typical High $5,623.41 | Professional | None | $2,884.03 | $3,311.31 | $5,623.41 |
Molina Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,454.71 | Professional | None | $2,089.30 | $2,089.30 | $2,454.71 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $2,884.03 Median $4,265.80 Typical High $5,495.41 | Facility | None | $2,884.03 | $4,265.80 | $5,495.41 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,884.03 Median $4,265.80 Typical High $5,495.41 | Professional | None | $2,884.03 | $4,265.80 | $5,495.41 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,265.80 Median $6,456.54 Typical High $10,232.93 | Facility | None | $4,265.80 | $6,456.54 | $10,232.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,019.95 | Professional | None | $2,454.71 | $2,454.71 | $3,019.95 |
Select Health Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,715.35 | Facility | None | $2,884.03 | $2,884.03 | $3,715.35 |
Select Health Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $4,073.80 | Professional | None | $2,884.03 | $2,884.03 | $4,073.80 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,202.26 Typical High $3,388.44 | Professional | None | $891.25 | $1,202.26 | $3,388.44 |
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 $1,995.26 Median $2,041.74 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,995.26 | $2,041.74 | $2,041.74 |
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· 15th of 51
$3,020
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.