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 $42.66 Median $63.10 Typical High $81.28 | Facility | None | $42.66 | $63.10 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $69.18 Typical High $77.62 | Professional | None | $34.67 | $69.18 | $77.62 |
BCBS Setting Facility Modifier None Typical Low $41.69 Median $109.65 Typical High $199.53 | Facility | None | $41.69 | $109.65 | $199.53 |
BCBS Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $35.48 | Professional | None | $29.51 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $72.44 Typical High $138.04 | Facility | None | $27.54 | $72.44 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $26.30 Typical High $64.57 | Professional | None | $21.38 | $26.30 | $64.57 |
Moda Health Setting Facility Modifier None Typical Low $35.48 Median $63.10 Typical High $162.18 | Facility | None | $35.48 | $63.10 | $162.18 |
Moda Health Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $69.18 | Professional | None | $35.48 | $41.69 | $69.18 |
Molina Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | None | $25.70 | $25.70 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $35.48 Median $52.48 Typical High $66.07 | Facility | None | $35.48 | $52.48 | $66.07 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $35.48 Median $52.48 Typical High $66.07 | Professional | None | $35.48 | $52.48 | $66.07 |
Regence BlueShield Setting Facility Modifier None Typical Low $52.48 Median $83.18 Typical High $125.89 | Facility | None | $52.48 | $83.18 | $125.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $37.15 | Professional | None | $29.51 | $29.51 | $37.15 |
Select Health Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $154.88 | Facility | None | $35.48 | $35.48 | $154.88 |
Select Health Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $50.12 | Professional | None | $35.48 | $35.48 | $50.12 |
United Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $75.86 | Professional | None | $14.79 | $20.89 | $75.86 |
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 Setting Professional Modifier 78 · Unplanned return to OR Typical Low $24.55 Median $25.12 Typical High $25.12 | Professional | 78 · Unplanned return to OR | $24.55 | $25.12 | $25.12 |
Where Idaho sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 10th of 51
$48.98
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.