How much rates vary
Facilitymedian $479 · 10th to 90th $224 to $4,169Professionalmedian $380 · 10th to 90th $288 to $575
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 $1,412.54 Median $4,466.84 Typical High $7,079.46 | Facility | None | $1,412.54 | $4,466.84 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $446.68 | Professional | None | $251.19 | $316.23 | $446.68 |
BCBS Idaho Setting Facility Modifier None Typical Low $245.47 Median $1,230.27 Typical High $4,265.80 | Facility | None | $245.47 | $1,230.27 | $4,265.80 |
BCBS Idaho Setting Professional Modifier None Typical Low $316.23 Median $436.52 Typical High $630.96 | Professional | None | $316.23 | $436.52 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $223.87 Typical High $302.00 | Facility | None | $199.53 | $223.87 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $331.13 Typical High $467.74 | Professional | None | $263.03 | $331.13 | $467.74 |
Moda Health Setting Facility Modifier None Typical Low $190.55 Median $446.68 Typical High $5,495.41 | Facility | None | $190.55 | $446.68 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $575.44 | Professional | None | $295.12 | $398.11 | $575.44 |
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 $281.84 Median $295.12 Typical High $489.78 | Facility | None | $281.84 | $295.12 | $489.78 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $575.44 | Professional | None | $295.12 | $354.81 | $575.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,754.23 Median $3,890.45 Typical High $5,248.07 | Facility | None | $2,754.23 | $3,890.45 | $5,248.07 |
Regence BlueShield Setting Professional Modifier None Typical Low $316.23 Median $398.11 Typical High $575.44 | Professional | None | $316.23 | $398.11 | $575.44 |
Select Health Setting Facility Modifier None Typical Low $275.42 Median $281.84 Typical High $1,584.89 | Facility | None | $275.42 | $281.84 | $1,584.89 |
Select Health Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | None | $275.42 | $275.42 | $371.54 |
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 $229.09 Median $323.59 Typical High $489.78 | Professional | None | $229.09 | $323.59 | $489.78 |
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 $158.49 Median $158.49 Typical High $223.87 | Professional | 52 · Reduced service | $158.49 | $158.49 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $91.20 | Professional | 53 · Discontinued | $63.10 | $63.10 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $239.88 Typical High $338.84 | Professional | 54 · Surgery only | $239.88 | $239.88 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $67.61 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $44.67 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $223.87 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $223.87 | $223.87 | $316.23 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $323.59 Typical High $562.34 | Professional | 54 · Surgery only | $288.40 | $323.59 | $562.34 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $36.31 Typical High $63.10 | Professional | 55 · Aftercare only | $32.36 | $36.31 | $63.10 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $380.19 Median $446.68 Typical High $707.95 | Professional | 63 · Small infant | $380.19 | $446.68 | $707.95 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $363.08 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $251.19 | $363.08 | $446.68 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $158.49 Typical High $223.87 | Professional | 52 · Reduced service | $158.49 | $158.49 | $223.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $91.20 | Professional | 53 · Discontinued | $63.10 | $63.10 | $91.20 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $239.88 Typical High $338.84 | Professional | 54 · Surgery only | $239.88 | $239.88 | $338.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $67.61 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $67.61 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $44.67 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $44.67 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $223.87 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $223.87 | $223.87 | $316.23 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $251.19 Typical High $354.81 | Professional | 54 · Surgery only | $251.19 | $251.19 | $354.81 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $50.12 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $50.12 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $269.15 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $269.15 | $269.15 | $380.19 |
Where Idaho sits
The same service costs 3.9 times more in Alaska than in Texas. 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· 11th of 51
$389
AK $851TX $219
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.