How much rates vary
Facilitymedian $372 · 10th to 90th $132 to $1,820Professionalmedian $204 · 10th to 90th $151 to $309
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 $199.53 Median $288.40 Typical High $5,495.41 | Facility | None | $199.53 | $288.40 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $173.78 Typical High $245.47 | Professional | None | $128.82 | $173.78 | $245.47 |
BCBS Idaho Setting Facility Modifier None Typical Low $141.25 Median $831.76 Typical High $2,137.96 | Facility | None | $141.25 | $831.76 | $2,137.96 |
BCBS Idaho Setting Professional Modifier None Typical Low $169.82 Median $234.42 Typical High $338.84 | Professional | None | $169.82 | $234.42 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $131.83 Typical High $177.83 | Facility | None | $117.49 | $131.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $177.83 Typical High $251.19 | Professional | None | $141.25 | $177.83 | $251.19 |
Moda Health Setting Facility Modifier None Typical Low $147.91 Median $245.47 Typical High $1,621.81 | Facility | None | $147.91 | $245.47 | $1,621.81 |
Moda Health Setting Professional Modifier None Typical Low $162.18 Median $208.93 Typical High $309.03 | Professional | None | $162.18 | $208.93 | $309.03 |
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 $158.49 Median $165.96 Typical High $263.03 | Facility | None | $158.49 | $165.96 | $263.03 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $309.03 | Professional | None | $165.96 | $194.98 | $309.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,202.26 Median $1,819.70 Typical High $2,290.87 | Facility | None | $1,202.26 | $1,819.70 | $2,290.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $169.82 Median $208.93 Typical High $309.03 | Professional | None | $169.82 | $208.93 | $309.03 |
Select Health Setting Facility Modifier None Typical Low $147.91 Median $151.36 Typical High $1,412.54 | Facility | None | $147.91 | $151.36 | $1,412.54 |
Select Health Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $204.17 | Professional | None | $147.91 | $147.91 | $204.17 |
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 $120.23 Median $173.78 Typical High $263.03 | Professional | None | $120.23 | $173.78 | $263.03 |
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 $83.18 Median $83.18 Typical High $123.03 | Professional | 52 · Reduced service | $83.18 | $83.18 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $48.98 | Professional | 53 · Discontinued | $33.11 | $33.11 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $125.89 Typical High $181.97 | Professional | 54 · Surgery only | $125.89 | $125.89 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $25.12 Typical High $36.31 | Professional | 55 · Aftercare only | $25.12 | $25.12 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.60 Typical High $24.55 | Professional | 56 · Pre-op care only | $16.60 | $16.60 | $24.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $117.49 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $117.49 | $117.49 | $169.82 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $186.21 Typical High $257.04 | Professional | 54 · Surgery only | $154.88 | $186.21 | $257.04 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $26.92 Typical High $33.88 | Professional | 55 · Aftercare only | $18.62 | $26.92 | $33.88 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $218.78 Median $251.19 Typical High $380.19 | Professional | 63 · Small infant | $218.78 | $251.19 | $380.19 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $151.36 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $125.89 | $151.36 | $234.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $83.18 Typical High $123.03 | Professional | 52 · Reduced service | $83.18 | $83.18 | $123.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $48.98 | Professional | 53 · Discontinued | $33.11 | $33.11 | $48.98 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $125.89 Typical High $181.97 | Professional | 54 · Surgery only | $125.89 | $125.89 | $181.97 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $25.12 Typical High $36.31 | Professional | 55 · Aftercare only | $25.12 | $25.12 | $36.31 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.60 Typical High $24.55 | Professional | 56 · Pre-op care only | $16.60 | $16.60 | $24.55 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $117.49 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $117.49 | $117.49 | $169.82 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $131.83 Typical High $190.55 | Professional | 54 · Surgery only | $131.83 | $131.83 | $190.55 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $18.62 Typical High $26.92 | Professional | 56 · Pre-op care only | $18.62 | $18.62 | $26.92 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $141.25 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $141.25 | $141.25 | $204.17 |
Where Idaho sits
The same service costs 3.5 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· 12th of 51
$209
AK $447FL $126
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.