How much rates vary
Facilitymedian $363 · 10th to 90th $234 to $1,202Professionalmedian $447 · 10th to 90th $339 to $724
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 $446.68 Median $1,621.81 Typical High $7,244.36 | Facility | None | $446.68 | $1,621.81 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $371.54 Typical High $588.84 | Professional | None | $302.00 | $371.54 | $588.84 |
BCBS Idaho Setting Facility Modifier None Typical Low $245.47 Median $457.09 Typical High $1,047.13 | Facility | None | $245.47 | $457.09 | $1,047.13 |
BCBS Idaho Setting Professional Modifier None Typical Low $371.54 Median $501.19 Typical High $794.33 | Professional | None | $371.54 | $501.19 | $794.33 |
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 $338.84 Median $436.52 Typical High $616.60 | Professional | None | $338.84 | $436.52 | $616.60 |
Moda Health Setting Facility Modifier None Typical Low $309.03 Median $524.81 Typical High $4,466.84 | Facility | None | $309.03 | $524.81 | $4,466.84 |
Moda Health Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $741.31 | Professional | None | $338.84 | $467.74 | $741.31 |
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 $323.59 Median $346.74 Typical High $645.65 | Facility | None | $323.59 | $346.74 | $645.65 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $346.74 Median $446.68 Typical High $758.58 | Professional | None | $346.74 | $446.68 | $758.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $676.08 Median $954.99 Typical High $1,318.26 | Facility | None | $676.08 | $954.99 | $1,318.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $371.54 Median $478.63 Typical High $741.31 | Professional | None | $371.54 | $478.63 | $741.31 |
Select Health Setting Facility Modifier None Typical Low $354.81 Median $363.08 Typical High $676.08 | Facility | None | $354.81 | $363.08 | $676.08 |
Select Health Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $489.78 | Professional | None | $354.81 | $354.81 | $489.78 |
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 $269.15 Median $416.87 Typical High $630.96 | Professional | None | $269.15 | $416.87 | $630.96 |
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 $186.21 Median $186.21 Typical High $295.12 | Professional | 52 · Reduced service | $186.21 | $186.21 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $120.23 | Professional | 53 · Discontinued | $74.13 | $74.13 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $281.84 Typical High $446.68 | Professional | 54 · Surgery only | $275.42 | $281.84 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $56.23 Typical High $89.13 | Professional | 55 · Aftercare only | $54.95 | $56.23 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $58.88 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $263.03 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $257.04 | $263.03 | $416.87 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $616.60 Typical High $758.58 | Professional | 54 · Surgery only | $389.05 | $616.60 | $758.58 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $44.67 Typical High $81.28 | Professional | 55 · Aftercare only | $37.15 | $44.67 | $81.28 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $446.68 Median $794.33 Typical High $977.24 | Professional | 63 · Small infant | $446.68 | $794.33 | $977.24 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $457.09 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $257.04 | $457.09 | $537.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $186.21 Typical High $295.12 | Professional | 52 · Reduced service | $186.21 | $186.21 | $295.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $120.23 | Professional | 53 · Discontinued | $74.13 | $74.13 | $120.23 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $398.11 Typical High $446.68 | Professional | 54 · Surgery only | $275.42 | $398.11 | $446.68 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $89.13 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $89.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $58.88 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $58.88 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $257.04 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $257.04 | $257.04 | $416.87 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $457.09 | Professional | 54 · Surgery only | $288.40 | $288.40 | $457.09 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $66.07 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $66.07 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $309.03 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $309.03 | $309.03 | $489.78 |
Where Idaho sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 14th of 51
$437
AK $977MD $282
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.