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 $61.66 Median $117.49 Typical High $117.49 | Facility | None | $61.66 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $100.00 Typical High $100.00 | Professional | None | $47.86 | $100.00 | $100.00 |
BCBS Idaho Setting Facility Modifier None Typical Low $51.29 Median $128.82 Typical High $223.87 | Facility | None | $51.29 | $128.82 | $223.87 |
BCBS Idaho Setting Professional Modifier None Typical Low $43.65 Median $51.29 Typical High $52.48 | Professional | None | $43.65 | $51.29 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $107.15 Typical High $199.53 | Facility | None | $39.81 | $107.15 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $38.02 Typical High $85.11 | Professional | None | $24.55 | $38.02 | $85.11 |
Moda Health Setting Facility Modifier None Typical Low $51.29 Median $91.20 Typical High $131.83 | Facility | None | $51.29 | $91.20 | $131.83 |
Moda Health Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $100.00 | Professional | None | $51.29 | $61.66 | $100.00 |
Molina Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | None | $38.02 | $38.02 | $44.67 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $51.29 Median $77.62 Typical High $97.72 | Facility | None | $51.29 | $77.62 | $97.72 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $51.29 Median $77.62 Typical High $97.72 | Professional | None | $51.29 | $77.62 | $97.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $77.62 Median $117.49 Typical High $186.21 | Facility | None | $77.62 | $117.49 | $186.21 |
Regence BlueShield Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $53.70 | Professional | None | $43.65 | $43.65 | $53.70 |
Select Health Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $95.50 | Facility | None | $51.29 | $51.29 | $95.50 |
Select Health Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $72.44 | Professional | None | $51.29 | $51.29 | $72.44 |
United Setting Professional Modifier None Typical Low $30.90 Median $33.88 Typical High $87.10 | Professional | None | $30.90 | $33.88 | $87.10 |
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 $35.48 Median $36.31 Typical High $36.31 | Professional | 78 · Unplanned return to OR | $35.48 | $36.31 | $36.31 |
Where Idaho sits
The same service costs 4.6 times more in South Carolina than in Connecticut. 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· 19th of 51
$67.61
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.