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 $6,456.54 Median $6,456.54 Typical High $6,456.54 | Facility | None | $6,456.54 | $6,456.54 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $3,388.44 Median $7,079.46 Typical High $7,079.46 | Professional | None | $3,388.44 | $7,079.46 | $7,079.46 |
BCBS Idaho Setting Facility Modifier None Typical Low $3,630.78 Median $6,918.31 Typical High $12,882.50 | Facility | None | $3,630.78 | $6,918.31 | $12,882.50 |
BCBS Idaho Setting Professional Modifier None Typical Low $3,090.30 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,090.30 | $3,630.78 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $7,413.10 Typical High $14,125.38 | Facility | None | $2,818.38 | $7,413.10 | $14,125.38 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $2,691.53 Typical High $6,165.95 | Professional | None | $1,584.89 | $2,691.53 | $6,165.95 |
Moda Health Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $7,079.46 | Facility | None | $3,630.78 | $3,630.78 | $7,079.46 |
Moda Health Setting Professional Modifier None Typical Low $3,630.78 Median $4,168.69 Typical High $7,079.46 | Professional | None | $3,630.78 | $4,168.69 | $7,079.46 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $3,630.78 Median $5,370.32 Typical High $6,918.31 | Facility | None | $3,630.78 | $5,370.32 | $6,918.31 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,630.78 Median $5,370.32 Typical High $6,918.31 | Professional | None | $3,630.78 | $5,370.32 | $6,918.31 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,370.32 Median $8,128.31 Typical High $12,882.50 | Facility | None | $5,370.32 | $8,128.31 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,801.89 | Professional | None | $3,090.30 | $3,090.30 | $3,801.89 |
Select Health Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $4,677.35 | Facility | None | $3,630.78 | $3,630.78 | $4,677.35 |
Select Health Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $5,128.61 | Professional | None | $3,630.78 | $3,630.78 | $5,128.61 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $5,754.40 | Professional | None | $1,513.56 | $1,513.56 | $5,754.40 |
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 $2,511.89 Median $2,570.40 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $2,511.89 | $2,570.40 | $2,570.40 |
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
$3,802
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.