How much rates vary
Facilitymedian $457 · 10th to 90th $245 to $1,622Professionalmedian $479 · 10th to 90th $355 to $813
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 $467.74 Median $776.25 Typical High $5,495.41 | Facility | None | $467.74 | $776.25 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $426.58 Typical High $660.69 | Professional | None | $331.13 | $426.58 | $660.69 |
BCBS Idaho Setting Facility Modifier None Typical Low $275.42 Median $489.78 Typical High $1,621.81 | Facility | None | $275.42 | $489.78 | $1,621.81 |
BCBS Idaho Setting Professional Modifier None Typical Low $389.05 Median $549.54 Typical High $891.25 | Professional | None | $389.05 | $549.54 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $275.42 Typical High $389.05 | Facility | None | $245.47 | $275.42 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $467.74 Typical High $676.08 | Professional | None | $363.08 | $467.74 | $676.08 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $562.34 Typical High $4,466.84 | Facility | None | $331.13 | $562.34 | $4,466.84 |
Moda Health Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $812.83 | Professional | None | $354.81 | $489.78 | $812.83 |
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 $346.74 Median $363.08 Typical High $691.83 | Facility | None | $346.74 | $363.08 | $691.83 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $363.08 Median $489.78 Typical High $812.83 | Professional | None | $363.08 | $489.78 | $812.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,023.29 Median $1,445.44 Typical High $2,041.74 | Facility | None | $1,023.29 | $1,445.44 | $2,041.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $389.05 Median $512.86 Typical High $812.83 | Professional | None | $389.05 | $512.86 | $812.83 |
Select Health Setting Facility Modifier None Typical Low $389.05 Median $398.11 Typical High $707.95 | Facility | None | $389.05 | $398.11 | $707.95 |
Select Health Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $537.03 | Professional | None | $389.05 | $389.05 | $537.03 |
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 $288.40 Median $467.74 Typical High $707.95 | Professional | None | $288.40 | $467.74 | $707.95 |
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 $194.98 Median $204.17 Typical High $323.59 | Professional | 52 · Reduced service | $194.98 | $204.17 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $81.28 Typical High $131.83 | Professional | 53 · Discontinued | $77.62 | $81.28 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $309.03 Typical High $489.78 | Professional | 54 · Surgery only | $295.12 | $309.03 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $61.66 Typical High $97.72 | Professional | 55 · Aftercare only | $58.88 | $61.66 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $40.74 Typical High $66.07 | Professional | 56 · Pre-op care only | $38.90 | $40.74 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $288.40 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $275.42 | $288.40 | $457.09 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $645.65 Typical High $812.83 | Professional | 54 · Surgery only | $354.81 | $645.65 | $812.83 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $75.86 Typical High $89.13 | Professional | 55 · Aftercare only | $38.90 | $75.86 | $89.13 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $467.74 Median $537.03 Typical High $933.25 | Professional | 63 · Small infant | $467.74 | $537.03 | $933.25 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $309.03 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $275.42 | $309.03 | $645.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $194.98 Typical High $323.59 | Professional | 52 · Reduced service | $194.98 | $194.98 | $323.59 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $131.83 | Professional | 53 · Discontinued | $77.62 | $77.62 | $131.83 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $436.52 Typical High $489.78 | Professional | 54 · Surgery only | $295.12 | $436.52 | $489.78 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $97.72 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $97.72 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $66.07 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $66.07 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $275.42 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $275.42 | $275.42 | $457.09 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $309.03 Typical High $501.19 | Professional | 54 · Surgery only | $309.03 | $309.03 | $501.19 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $72.44 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $72.44 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $331.13 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $331.13 | $331.13 | $537.03 |
Where Idaho sits
The same service costs 3.2 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· 17th of 51
$468
AK $1,047FL $324
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.