How much rates vary
Facilitymedian $398 · 10th to 90th $174 to $1,820Professionalmedian $224 · 10th to 90th $145 to $479
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 $186.21 Median $467.74 Typical High $5,495.41 | Facility | None | $186.21 | $467.74 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $181.97 Typical High $389.05 | Professional | None | $138.04 | $181.97 | $389.05 |
BCBS Idaho Setting Facility Modifier None Typical Low $131.83 Median $316.23 Typical High $1,819.70 | Facility | None | $131.83 | $316.23 | $1,819.70 |
BCBS Idaho Setting Professional Modifier None Typical Low $162.18 Median $380.19 Typical High $562.34 | Professional | None | $162.18 | $380.19 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $275.42 Typical High $371.54 | Facility | None | $245.47 | $275.42 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $194.98 Typical High $380.19 | Professional | None | $138.04 | $194.98 | $380.19 |
Moda Health Setting Facility Modifier None Typical Low $158.49 Median $407.38 Typical High $2,187.76 | Facility | None | $158.49 | $407.38 | $2,187.76 |
Moda Health Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $478.63 | Professional | None | $158.49 | $208.93 | $478.63 |
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 $165.96 Median $173.78 Typical High $446.68 | Facility | None | $165.96 | $173.78 | $446.68 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $173.78 Median $309.03 Typical High $524.81 | Professional | None | $173.78 | $309.03 | $524.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,202.26 Median $1,737.80 Typical High $2,290.87 | Facility | None | $1,202.26 | $1,737.80 | $2,290.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $162.18 Median $218.78 Typical High $478.63 | Professional | None | $162.18 | $218.78 | $478.63 |
Select Health Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $331.13 | Facility | None | $245.47 | $245.47 | $331.13 |
Select Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $309.03 | Professional | None | $245.47 | $245.47 | $309.03 |
United Setting Facility Modifier None Typical Low $363.08 Median $501.19 Typical High $724.44 | Facility | None | $363.08 | $501.19 | $724.44 |
United Setting Professional Modifier None Typical Low $112.20 Median $181.97 Typical High $316.23 | Professional | None | $112.20 | $181.97 | $316.23 |
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 $79.43 Median $107.15 Typical High $194.98 | Professional | 52 · Reduced service | $79.43 | $107.15 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $42.66 Typical High $77.62 | Professional | 53 · Discontinued | $31.62 | $42.66 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $158.49 Typical High $295.12 | Professional | 54 · Surgery only | $117.49 | $158.49 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $31.62 Typical High $58.88 | Professional | 55 · Aftercare only | $23.44 | $31.62 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $21.38 Typical High $38.90 | Professional | 56 · Pre-op care only | $15.85 | $21.38 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $147.91 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $109.65 | $147.91 | $275.42 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $338.84 Typical High $457.09 | Professional | 54 · Surgery only | $169.82 | $338.84 | $457.09 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $20.89 Typical High $38.02 | Professional | 55 · Aftercare only | $17.78 | $20.89 | $38.02 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $213.80 Median $269.15 Typical High $707.95 | Professional | 63 · Small infant | $213.80 | $269.15 | $707.95 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $151.36 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $125.89 | $151.36 | $316.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $194.98 | Professional | 52 · Reduced service | $79.43 | $79.43 | $194.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $77.62 | Professional | 53 · Discontinued | $31.62 | $31.62 | $77.62 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $186.21 Typical High $295.12 | Professional | 54 · Surgery only | $117.49 | $186.21 | $295.12 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $58.88 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $58.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $38.90 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $38.90 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $109.65 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $109.65 | $109.65 | $275.42 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $125.89 Typical High $295.12 | Professional | 54 · Surgery only | $125.89 | $125.89 | $295.12 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $17.78 Typical High $41.69 | Professional | 56 · Pre-op care only | $17.78 | $17.78 | $41.69 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $134.90 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $134.90 | $134.90 | $316.23 |
Where Idaho sits
The same service costs 4.1 times more in Alaska 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.
Idaho· 13th of 51
$269
AK $501KY $123
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.