How much rates vary
Facilitymedian $501 · 10th to 90th $309 to $1,660Professionalmedian $617 · 10th to 90th $437 to $1,175
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 $1,621.81 Median $4,466.84 Typical High $7,244.36 | Facility | None | $1,621.81 | $4,466.84 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $562.34 Typical High $954.99 | Professional | None | $407.38 | $562.34 | $954.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $446.68 Typical High $724.44 | Professional | 54 · Surgery only | $371.54 | $446.68 | $724.44 |
BCBS Idaho Setting Facility Modifier None Typical Low $389.05 Median $575.44 Typical High $1,621.81 | Facility | None | $389.05 | $575.44 | $1,621.81 |
BCBS Idaho Setting Professional Modifier None Typical Low $478.63 Median $831.76 Typical High $1,288.25 | Professional | None | $478.63 | $831.76 | $1,288.25 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $501.19 Typical High $1,122.02 | Professional | 54 · Surgery only | $478.63 | $501.19 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $676.08 | Facility | None | $446.68 | $501.19 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $588.84 Typical High $1,000.00 | Professional | None | $426.58 | $588.84 | $1,000.00 |
Moda Health Setting Facility Modifier None Typical Low $407.38 Median $851.14 Typical High $5,495.41 | Facility | None | $407.38 | $851.14 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $426.58 Median $616.60 Typical High $1,230.27 | Professional | None | $426.58 | $616.60 | $1,230.27 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $371.54 Typical High $724.44 | Professional | 54 · Surgery only | $371.54 | $371.54 | $724.44 |
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 $416.87 Median $436.52 Typical High $1,047.13 | Facility | None | $416.87 | $436.52 | $1,047.13 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $436.52 Median $724.44 Typical High $1,230.27 | Professional | None | $436.52 | $724.44 | $1,230.27 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $758.58 | Professional | 54 · Surgery only | $380.19 | $380.19 | $758.58 |
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 $478.63 Median $660.69 Typical High $1,230.27 | Professional | None | $478.63 | $660.69 | $1,230.27 |
Select Health Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $1,174.90 | Facility | None | $588.84 | $588.84 | $1,174.90 |
Select Health Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $812.83 | Professional | None | $588.84 | $588.84 | $812.83 |
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 $354.81 Median $616.60 Typical High $1,023.29 | Professional | None | $354.81 | $616.60 | $1,023.29 |
5 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 |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $57.54 Typical High $125.89 | Professional | 55 · Aftercare only | $53.70 | $57.54 | $125.89 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $562.34 Median $1,288.25 Typical High $1,659.59 | Professional | 63 · Small infant | $562.34 | $1,288.25 | $1,659.59 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $380.19 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $331.13 | $380.19 | $891.25 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $109.65 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $109.65 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $812.83 |
Where Idaho sits
The same service costs 3.1 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· 18th of 51
$617
AK $1,288MD $417
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.