How much rates vary
Facilitymedian $234 · 10th to 90th $115 to $759Professionalmedian $200 · 10th to 90th $135 to $302
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 $1,412.54 Median $4,466.84 Typical High $7,079.46 | Facility | None | $1,412.54 | $4,466.84 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $199.53 Typical High $269.15 | Professional | None | $125.89 | $199.53 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $30.20 Typical High $40.74 | Professional | 55 · Aftercare only | $19.05 | $30.20 | $40.74 |
BCBS Idaho Setting Facility Modifier None Typical Low $114.82 Median $295.12 Typical High $691.83 | Facility | None | $114.82 | $295.12 | $691.83 |
BCBS Idaho Setting Professional Modifier None Typical Low $162.18 Median $218.78 Typical High $309.03 | Professional | None | $162.18 | $218.78 | $309.03 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $21.88 Typical High $30.90 | Professional | 55 · Aftercare only | $16.22 | $21.88 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $117.49 Typical High $158.49 | Facility | None | $104.71 | $117.49 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $208.93 | Professional | None | $134.90 | $154.88 | $208.93 |
Moda Health Setting Facility Modifier None Typical Low $109.65 Median $269.15 Typical High $5,495.41 | Facility | None | $109.65 | $269.15 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $151.36 Median $234.42 Typical High $323.59 | Professional | None | $151.36 | $234.42 | $323.59 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $30.20 Typical High $40.74 | Professional | 55 · Aftercare only | $19.05 | $30.20 | $40.74 |
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 $177.83 Median $177.83 Typical High $288.40 | Facility | None | $177.83 | $177.83 | $288.40 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $177.83 Median $223.87 Typical High $363.08 | Professional | None | $177.83 | $223.87 | $363.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $467.74 Median $676.08 Typical High $870.96 | Facility | None | $467.74 | $676.08 | $870.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $199.53 Median $234.42 Typical High $323.59 | Professional | None | $199.53 | $234.42 | $323.59 |
Select Health Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $478.63 | Facility | None | $138.04 | $138.04 | $478.63 |
Select Health Setting Professional Modifier None Typical Low $100.00 Median $138.04 Typical High $173.78 | Professional | None | $100.00 | $138.04 | $173.78 |
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 $109.65 Median $162.18 Typical High $257.04 | Professional | None | $109.65 | $162.18 | $257.04 |
15 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 $63.10 Median $100.00 Typical High $134.90 | Professional | 52 · Reduced service | $63.10 | $100.00 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $39.81 Typical High $53.70 | Professional | 53 · Discontinued | $25.12 | $39.81 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $19.95 Typical High $26.92 | Professional | 56 · Pre-op care only | $12.59 | $19.95 | $26.92 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $173.78 Median $407.38 Typical High $1,047.13 | Facility | 50 · Both sides | $173.78 | $407.38 | $1,047.13 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $245.47 Median $371.54 Typical High $457.09 | Professional | 50 · Both sides | $245.47 | $371.54 | $457.09 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $194.98 Typical High $281.84 | Professional | 54 · Surgery only | $151.36 | $194.98 | $281.84 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $194.98 Median $309.03 Typical High $371.54 | Professional | 63 · Small infant | $194.98 | $309.03 | $371.54 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $114.82 Median $186.21 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $114.82 | $186.21 | $223.87 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $100.00 Typical High $134.90 | Professional | 52 · Reduced service | $63.10 | $100.00 | $134.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $39.81 Typical High $53.70 | Professional | 53 · Discontinued | $25.12 | $39.81 | $53.70 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $19.95 Typical High $26.92 | Professional | 56 · Pre-op care only | $12.59 | $19.95 | $26.92 |
MountainHealth Co-op Setting Professional Modifier 50 · Both sides Typical Low $323.59 Median $323.59 Typical High $457.09 | Professional | 50 · Both sides | $323.59 | $323.59 | $457.09 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $151.36 Typical High $208.93 | Professional | 54 · Surgery only | $151.36 | $151.36 | $208.93 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $30.20 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $30.20 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $162.18 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $162.18 | $162.18 | $223.87 |
Where Idaho sits
The same service costs 3.7 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· 11th of 51
$200
AK $398FL $107
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.