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 $14,125.38 Median $14,125.38 Typical High $14,125.38 | Facility | None | $14,125.38 | $14,125.38 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $7,244.36 Median $15,135.61 Typical High $15,135.61 | Professional | None | $7,244.36 | $15,135.61 | $15,135.61 |
BCBS Idaho Setting Facility Modifier None Typical Low $7,762.47 Median $13,489.63 Typical High $28,183.83 | Facility | None | $7,762.47 | $13,489.63 | $28,183.83 |
BCBS Idaho Setting Professional Modifier None Typical Low $6,606.93 Median $7,762.47 Typical High $7,943.28 | Professional | None | $6,606.93 | $7,762.47 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $6,025.60 Median $16,218.10 Typical High $30,199.52 | Facility | None | $6,025.60 | $16,218.10 | $30,199.52 |
Cigna Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Professional | None | $5,754.40 | $5,754.40 | $5,754.40 |
Moda Health Setting Facility Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $15,135.61 | Facility | None | $7,762.47 | $7,762.47 | $15,135.61 |
Moda Health Setting Professional Modifier None Typical Low $7,762.47 Median $8,912.51 Typical High $15,135.61 | Professional | None | $7,762.47 | $8,912.51 | $15,135.61 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $7,762.47 Median $11,748.98 Typical High $14,791.08 | Facility | None | $7,762.47 | $11,748.98 | $14,791.08 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $7,762.47 Median $11,748.98 Typical High $14,791.08 | Professional | None | $7,762.47 | $11,748.98 | $14,791.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,748.98 Median $17,378.01 Typical High $28,183.83 | Facility | None | $11,748.98 | $17,378.01 | $28,183.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $8,128.31 | Professional | None | $6,606.93 | $6,606.93 | $8,128.31 |
Select Health Setting Facility Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $10,000.00 | Facility | None | $7,762.47 | $7,762.47 | $10,000.00 |
Select Health Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $10,964.78 | Professional | None | $7,762.47 | $7,762.47 | $10,964.78 |
United Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $12,302.69 | Professional | None | $3,235.94 | $3,235.94 | $12,302.69 |
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 $5,495.41 Median $5,495.41 Typical High $5,495.41 | Professional | 78 · Unplanned return to OR | $5,495.41 | $5,495.41 | $5,495.41 |
Where Idaho sits
The same service costs 7.4 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· 13th of 51
$8,128
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.