How much rates vary
Facilitymedian $331 · 10th to 90th $151 to $1,202Professionalmedian $316 · 10th to 90th $229 to $407
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 $331.13 Median $389.05 Typical High $5,495.41 | Facility | None | $331.13 | $389.05 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $281.84 Typical High $338.84 | Professional | None | $181.97 | $281.84 | $338.84 |
BCBS Idaho Setting Facility Modifier None Typical Low $131.83 Median $331.13 Typical High $1,047.13 | Facility | None | $131.83 | $331.13 | $1,047.13 |
BCBS Idaho Setting Professional Modifier None Typical Low $281.84 Median $346.74 Typical High $467.74 | Professional | None | $281.84 | $346.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $158.49 Typical High $218.78 | Facility | None | $141.25 | $158.49 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $288.40 Typical High $331.13 | Professional | None | $229.09 | $288.40 | $331.13 |
Moda Health Setting Facility Modifier None Typical Low $281.84 Median $426.58 Typical High $1,995.26 | Facility | None | $281.84 | $426.58 | $1,995.26 |
Moda Health Setting Professional Modifier None Typical Low $263.03 Median $323.59 Typical High $407.38 | Professional | None | $263.03 | $323.59 | $407.38 |
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 $275.42 Median $288.40 Typical High $363.08 | Facility | None | $275.42 | $288.40 | $363.08 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $288.40 Median $338.84 Typical High $426.58 | Professional | None | $288.40 | $338.84 | $426.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $676.08 Median $954.99 Typical High $1,318.26 | Facility | None | $676.08 | $954.99 | $1,318.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $407.38 | Professional | None | $281.84 | $331.13 | $407.38 |
Select Health Setting Facility Modifier None Typical Low $204.17 Median $208.93 Typical High $346.74 | Facility | None | $204.17 | $208.93 | $346.74 |
Select Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $275.42 | Professional | None | $204.17 | $204.17 | $275.42 |
United Setting Facility Modifier None Typical Low $144.54 Median $363.08 Typical High $501.19 | Facility | None | $144.54 | $363.08 | $501.19 |
United Setting Professional Modifier None Typical Low $181.97 Median $251.19 Typical High $354.81 | Professional | None | $181.97 | $251.19 | $354.81 |
19 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $138.04 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $64.57 | Professional | 53 · Discontinued | $56.23 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $208.93 Typical High $245.47 | Professional | 54 · Surgery only | $208.93 | $208.93 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $48.98 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $32.36 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $194.98 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $194.98 | $194.98 | $229.09 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $295.12 Typical High $416.87 | Professional | 54 · Surgery only | $275.42 | $295.12 | $416.87 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $36.31 Typical High $47.86 | Professional | 55 · Aftercare only | $30.90 | $36.31 | $47.86 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $380.19 Median $416.87 Typical High $478.63 | Professional | 63 · Small infant | $380.19 | $416.87 | $478.63 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $223.87 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $213.80 | $223.87 | $323.59 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $138.04 | $138.04 | $162.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $64.57 | Professional | 53 · Discontinued | $56.23 | $56.23 | $64.57 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $208.93 Typical High $245.47 | Professional | 54 · Surgery only | $208.93 | $208.93 | $245.47 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $48.98 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $48.98 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $32.36 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $32.36 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $194.98 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $194.98 | $194.98 | $229.09 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $218.78 Typical High $257.04 | Professional | 54 · Surgery only | $218.78 | $218.78 | $257.04 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $36.31 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $36.31 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $234.42 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $234.42 | $234.42 | $275.42 |
Where Idaho sits
The same service costs 4.4 times more in Alaska than in Florida. 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
$316
AK $759FL $174
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.