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 $5,888.44 Median $5,888.44 Typical High $5,888.44 | Facility | None | $5,888.44 | $5,888.44 | $5,888.44 |
Aetna Setting Professional Modifier None Typical Low $3,019.95 Median $6,309.57 Typical High $6,309.57 | Professional | None | $3,019.95 | $6,309.57 | $6,309.57 |
BCBS Idaho Setting Facility Modifier None Typical Low $3,235.94 Median $5,495.41 Typical High $11,748.98 | Facility | None | $3,235.94 | $5,495.41 | $11,748.98 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,754.23 Median $3,235.94 Typical High $3,311.31 | Professional | None | $2,754.23 | $3,235.94 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $6,760.83 Typical High $12,589.25 | Facility | None | $2,511.89 | $6,760.83 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $5,370.32 | Professional | None | $2,398.83 | $2,398.83 | $5,370.32 |
Moda Health Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $6,309.57 | Facility | None | $3,235.94 | $3,235.94 | $6,309.57 |
Moda Health Setting Professional Modifier None Typical Low $3,235.94 Median $3,715.35 Typical High $6,309.57 | Professional | None | $3,235.94 | $3,715.35 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,818.38 | Professional | None | $2,398.83 | $2,398.83 | $2,818.38 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $3,235.94 Median $4,897.79 Typical High $6,165.95 | Facility | None | $3,235.94 | $4,897.79 | $6,165.95 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,235.94 Median $4,897.79 Typical High $6,165.95 | Professional | None | $3,235.94 | $4,897.79 | $6,165.95 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,897.79 Median $7,244.36 Typical High $11,748.98 | Facility | None | $4,897.79 | $7,244.36 | $11,748.98 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,388.44 | Professional | None | $2,754.23 | $2,754.23 | $3,388.44 |
Select Health Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $4,168.69 | Facility | None | $3,235.94 | $3,235.94 | $4,168.69 |
Select Health Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $4,570.88 | Professional | None | $3,235.94 | $3,235.94 | $4,570.88 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $4,570.88 | Professional | None | $1,202.26 | $1,348.96 | $4,570.88 |
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 $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $2,290.87 | $2,290.87 | $2,290.87 |
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· 16th of 51
$3,388
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.