How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $57.54 Median $302.00 Typical High $7,079.46 | Facility | None | $57.54 | $302.00 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $134.90 Typical High $363.08 | Professional | None | $41.69 | $134.90 | $363.08 |
BCBS Idaho Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $776.25 | Facility | None | $489.78 | $691.83 | $776.25 |
BCBS Idaho Setting Professional Modifier None Typical Low $64.57 Median $269.15 Typical High $380.19 | Professional | None | $64.57 | $269.15 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $158.49 Typical High $269.15 | Professional | None | $56.23 | $158.49 | $269.15 |
Hally Health Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $524.81 | Professional | None | $389.05 | $389.05 | $524.81 |
Moda Health Setting Facility Modifier None Typical Low $57.54 Median $275.42 Typical High $5,495.41 | Facility | None | $57.54 | $275.42 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $52.48 Median $134.90 Typical High $363.08 | Professional | None | $52.48 | $134.90 | $363.08 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $95.50 | Professional | None | $33.11 | $33.11 | $95.50 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $354.81 | Facility | None | $67.61 | $67.61 | $354.81 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $67.61 Median $141.25 Typical High $446.68 | Professional | None | $67.61 | $141.25 | $446.68 |
Regence BlueShield Setting Professional Modifier None Typical Low $75.86 Median $102.33 Typical High $363.08 | Professional | None | $75.86 | $102.33 | $363.08 |
Select Health Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $173.78 | Facility | None | $169.82 | $169.82 | $173.78 |
Select Health Setting Professional Modifier None Typical Low $61.66 Median $169.82 Typical High $263.03 | Professional | None | $61.66 | $169.82 | $263.03 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $8,317.64 Typical High $9,332.54 | Facility | None | $1,862.09 | $8,317.64 | $9,332.54 |
United Setting Professional Modifier None Typical Low $44.67 Median $128.82 Typical High $288.40 | Professional | None | $44.67 | $128.82 | $288.40 |
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 50 · Both sides Typical Low $95.50 Median $134.90 Typical High $575.44 | Professional | 50 · Both sides | $95.50 | $134.90 | $575.44 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $67.61 Typical High $346.74 | Professional | 54 · Surgery only | $56.23 | $67.61 | $346.74 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $32.36 Typical High $39.81 | Professional | 55 · Aftercare only | $6.17 | $32.36 | $39.81 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $74.13 Median $91.20 Typical High $457.09 | Professional | 63 · Small infant | $74.13 | $91.20 | $457.09 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $43.65 Median $52.48 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $43.65 | $52.48 | $269.15 |
Where Idaho sits
The same service costs 5.5 times more in Washington than in Indiana. 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· 32nd of 51
$138
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.