How much rates vary
Facilitymedian $11,220 · 10th to 90th $1,479 to $53,703Professionalmedian $1,622 · 10th to 90th $1,318 to $2,042
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 $3,981.07 Median $4,786.30 Typical High $7,244.36 | Facility | None | $3,981.07 | $4,786.30 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,479.11 Typical High $3,981.07 | Professional | None | $1,122.02 | $1,479.11 | $3,981.07 |
BCBS Idaho Setting Facility Modifier None Typical Low $17,782.79 Median $33,113.11 Typical High $57,543.99 | Facility | None | $17,782.79 | $33,113.11 | $57,543.99 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,548.82 Median $1,698.24 Typical High $2,041.74 | Professional | None | $1,548.82 | $1,698.24 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $1,380.38 Typical High $12,589.25 | Facility | None | $151.36 | $1,380.38 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,737.80 Typical High $1,949.84 | Professional | None | $1,380.38 | $1,737.80 | $1,949.84 |
Moda Health Setting Facility Modifier None Typical Low $1,445.44 Median $2,089.30 Typical High $5,495.41 | Facility | None | $1,445.44 | $2,089.30 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,513.56 Typical High $1,819.70 | Professional | None | $1,445.44 | $1,513.56 | $1,819.70 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,479.11 | $1,621.81 | $1,621.81 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,584.89 Median $1,621.81 Typical High $29,512.09 | Professional | None | $1,584.89 | $1,621.81 | $29,512.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $30,902.95 Median $44,668.36 Typical High $57,543.99 | Facility | None | $30,902.95 | $44,668.36 | $57,543.99 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,778.28 | Professional | None | $1,548.82 | $1,548.82 | $1,778.28 |
Select Health Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $891.25 | Facility | None | $870.96 | $870.96 | $891.25 |
Select Health Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,348.96 | Professional | None | $870.96 | $870.96 | $1,348.96 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $10,000.00 Typical High $12,882.50 | Facility | None | $2,570.40 | $10,000.00 | $12,882.50 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $2,137.96 | Professional | None | $1,174.90 | $1,698.24 | $2,137.96 |
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 $1,148.15 Median $1,230.27 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,230.27 | $1,445.44 |
Where Idaho sits
The same service costs 8.1 times more in Indiana than in Kentucky. 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.
Physician feeFacility fee
IN $23,026KY $2,834
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.