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 $10,000.00 Median $10,000.00 Typical High $10,000.00 | Facility | None | $10,000.00 | $10,000.00 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $5,128.61 Median $10,715.19 Typical High $10,715.19 | Professional | None | $5,128.61 | $10,715.19 | $10,715.19 |
BCBS Idaho Setting Facility Modifier None Typical Low $5,370.32 Median $10,715.19 Typical High $19,952.62 | Facility | None | $5,370.32 | $10,715.19 | $19,952.62 |
BCBS Idaho Setting Professional Modifier None Typical Low $4,570.88 Median $5,370.32 Typical High $5,495.41 | Professional | None | $4,570.88 | $5,370.32 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $4,265.80 Median $11,481.54 Typical High $21,379.62 | Facility | None | $4,265.80 | $11,481.54 | $21,379.62 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $4,073.80 Typical High $9,332.54 | Professional | None | $2,398.83 | $4,073.80 | $9,332.54 |
Moda Health Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $10,715.19 | Facility | None | $5,370.32 | $5,370.32 | $10,715.19 |
Moda Health Setting Professional Modifier None Typical Low $5,370.32 Median $6,309.57 Typical High $10,715.19 | Professional | None | $5,370.32 | $6,309.57 | $10,715.19 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $5,370.32 Median $8,128.31 Typical High $10,232.93 | Facility | None | $5,370.32 | $8,128.31 | $10,232.93 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $5,370.32 Median $8,128.31 Typical High $10,232.93 | Professional | None | $5,370.32 | $8,128.31 | $10,232.93 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,317.64 Median $12,302.69 Typical High $19,952.62 | Facility | None | $8,317.64 | $12,302.69 | $19,952.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $5,623.41 | Professional | None | $4,570.88 | $4,570.88 | $5,623.41 |
Select Health Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $7,079.46 | Facility | None | $5,370.32 | $5,370.32 | $7,079.46 |
Select Health Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $7,762.47 | Professional | None | $5,370.32 | $5,370.32 | $7,762.47 |
United Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $8,709.64 | Professional | None | $2,290.87 | $2,290.87 | $8,709.64 |
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 $3,801.89 Median $3,890.45 Typical High $3,890.45 | Professional | 78 · Unplanned return to OR | $3,801.89 | $3,890.45 | $3,890.45 |
Where Idaho sits
The same service costs 6.2 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· 17th of 51
$5,623
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.