How much rates vary
Facilitymedian $263 · 10th to 90th $126 to $1,202Professionalmedian $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 $190.55 Median $323.59 Typical High $5,495.41 | Facility | None | $190.55 | $323.59 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $199.53 Typical High $288.40 | Professional | None | $151.36 | $199.53 | $288.40 |
BCBS Idaho Setting Facility Modifier None Typical Low $218.78 Median $446.68 Typical High $1,202.26 | Facility | None | $218.78 | $446.68 | $1,202.26 |
BCBS Idaho Setting Professional Modifier None Typical Low $154.88 Median $208.93 Typical High $338.84 | Professional | None | $154.88 | $208.93 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $125.89 Typical High $169.82 | Facility | None | $112.20 | $125.89 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $181.97 Typical High $257.04 | Professional | None | $144.54 | $181.97 | $257.04 |
Moda Health Setting Facility Modifier None Typical Low $151.36 Median $331.13 Typical High $2,818.38 | Facility | None | $151.36 | $331.13 | $2,818.38 |
Moda Health Setting Professional Modifier None Typical Low $154.88 Median $234.42 Typical High $309.03 | Professional | None | $154.88 | $234.42 | $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 $218.78 Typical High $263.03 | Facility | None | $158.49 | $218.78 | $263.03 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $158.49 Median $186.21 Typical High $309.03 | Professional | None | $158.49 | $186.21 | $309.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $676.08 Median $977.24 Typical High $1,318.26 | Facility | None | $676.08 | $977.24 | $1,318.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $154.88 Median $199.53 Typical High $309.03 | Professional | None | $154.88 | $199.53 | $309.03 |
Select Health Setting Facility Modifier None Typical Low $147.91 Median $151.36 Typical High $912.01 | Facility | None | $147.91 | $151.36 | $912.01 |
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 $144.54 Median $363.08 Typical High $501.19 | Facility | None | $144.54 | $363.08 | $501.19 |
United Setting Professional Modifier None Typical Low $112.20 Median $213.80 Typical High $331.13 | Professional | None | $112.20 | $213.80 | $331.13 |
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 $89.13 Median $89.13 Typical High $141.25 | Professional | 52 · Reduced service | $89.13 | $89.13 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $56.23 | Professional | 53 · Discontinued | $35.48 | $35.48 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $134.90 Typical High $208.93 | Professional | 54 · Surgery only | $134.90 | $134.90 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $41.69 | Professional | 55 · Aftercare only | $26.92 | $26.92 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $17.78 Typical High $28.18 | Professional | 56 · Pre-op care only | $17.78 | $17.78 | $28.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $125.89 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $125.89 | $125.89 | $194.98 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $181.97 Typical High $269.15 | Professional | 54 · Surgery only | $154.88 | $181.97 | $269.15 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $19.05 Typical High $34.67 | Professional | 55 · Aftercare only | $17.38 | $19.05 | $34.67 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $208.93 Median $239.88 Typical High $354.81 | Professional | 63 · Small infant | $208.93 | $239.88 | $354.81 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $120.23 Median $190.55 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $120.23 | $190.55 | $239.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $89.13 Typical High $141.25 | Professional | 52 · Reduced service | $89.13 | $89.13 | $141.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $56.23 | Professional | 53 · Discontinued | $35.48 | $35.48 | $56.23 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $134.90 Typical High $208.93 | Professional | 54 · Surgery only | $125.89 | $134.90 | $208.93 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $41.69 | Professional | 55 · Aftercare only | $26.92 | $26.92 | $41.69 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $17.78 Typical High $28.18 | Professional | 56 · Pre-op care only | $17.78 | $17.78 | $28.18 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $125.89 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $125.89 | $125.89 | $194.98 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $123.03 Typical High $190.55 | Professional | 54 · Surgery only | $123.03 | $123.03 | $190.55 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $27.54 | Professional | 56 · Pre-op care only | $17.38 | $17.38 | $27.54 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $131.83 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $131.83 | $131.83 | $204.17 |
Where Idaho sits
The same service costs 3.2 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· 12th of 51
$219
AK $427TX $132
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.