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 $6,918.31 Median $6,918.31 Typical High $6,918.31 | Facility | None | $6,918.31 | $6,918.31 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $3,630.78 Median $7,585.78 Typical High $7,585.78 | Professional | None | $3,630.78 | $7,585.78 | $7,585.78 |
BCBS Idaho Setting Facility Modifier None Typical Low $3,890.45 Median $6,760.83 Typical High $13,803.84 | Facility | None | $3,890.45 | $6,760.83 | $13,803.84 |
BCBS Idaho Setting Professional Modifier None Typical Low $3,311.31 Median $3,890.45 Typical High $3,981.07 | Professional | None | $3,311.31 | $3,890.45 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $3,019.95 Median $8,128.31 Typical High $15,135.61 | Facility | None | $3,019.95 | $8,128.31 | $15,135.61 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Moda Health Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $7,585.78 | Facility | None | $3,890.45 | $3,890.45 | $7,585.78 |
Moda Health Setting Professional Modifier None Typical Low $3,890.45 Median $4,466.84 Typical High $7,585.78 | Professional | None | $3,890.45 | $4,466.84 | $7,585.78 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $3,890.45 Median $5,754.40 Typical High $7,413.10 | Facility | None | $3,890.45 | $5,754.40 | $7,413.10 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,890.45 Median $5,754.40 Typical High $7,413.10 | Professional | None | $3,890.45 | $5,754.40 | $7,413.10 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,754.40 Median $8,709.64 Typical High $13,803.84 | Facility | None | $5,754.40 | $8,709.64 | $13,803.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $4,073.80 | Professional | None | $3,311.31 | $3,311.31 | $4,073.80 |
Select Health Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $5,011.87 | Facility | None | $3,890.45 | $3,890.45 | $5,011.87 |
Select Health Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $5,495.41 | Professional | None | $3,890.45 | $3,890.45 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $6,165.95 | Professional | None | $1,621.81 | $1,621.81 | $6,165.95 |
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 $2,691.53 Median $2,754.23 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $2,691.53 | $2,754.23 | $2,754.23 |
Where Idaho sits
The same service costs 7.6 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
$4,074
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.