How much rates vary
Facilitymedian $158 · 10th to 90th $65 to $676Professionalmedian $110 · 10th to 90th $76 to $166
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 Professional Modifier None Typical Low $69.18 Median $109.65 Typical High $151.36 | Professional | None | $69.18 | $109.65 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $16.60 Typical High $22.91 | Professional | 55 · Aftercare only | $10.47 | $16.60 | $22.91 |
BCBS Idaho Setting Facility Modifier None Typical Low $64.57 Median $234.42 Typical High $691.83 | Facility | None | $64.57 | $234.42 | $691.83 |
BCBS Idaho Setting Professional Modifier None Typical Low $93.33 Median $120.23 Typical High $169.82 | Professional | None | $93.33 | $120.23 | $169.82 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $12.02 Typical High $16.60 | Professional | 55 · Aftercare only | $9.55 | $12.02 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $64.57 Typical High $87.10 | Facility | None | $57.54 | $64.57 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $117.49 | Professional | None | $75.86 | $91.20 | $117.49 |
Moda Health Setting Facility Modifier None Typical Low $69.18 Median $109.65 Typical High $218.78 | Facility | None | $69.18 | $109.65 | $218.78 |
Moda Health Setting Professional Modifier None Typical Low $85.11 Median $131.83 Typical High $181.97 | Professional | None | $85.11 | $131.83 | $181.97 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $16.60 Typical High $22.91 | Professional | 55 · Aftercare only | $10.47 | $16.60 | $22.91 |
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 $100.00 Median $100.00 Typical High $158.49 | Facility | None | $100.00 | $100.00 | $158.49 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $199.53 | Professional | None | $100.00 | $125.89 | $199.53 |
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 $109.65 Median $131.83 Typical High $181.97 | Professional | None | $109.65 | $131.83 | $181.97 |
Select Health Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $478.63 | Facility | None | $75.86 | $75.86 | $478.63 |
Select Health Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $100.00 | Professional | None | $54.95 | $75.86 | $100.00 |
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 $60.26 Median $91.20 Typical High $151.36 | Professional | None | $60.26 | $91.20 | $151.36 |
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 $34.67 Median $54.95 Typical High $75.86 | Professional | 52 · Reduced service | $34.67 | $54.95 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $21.88 Typical High $30.20 | Professional | 53 · Discontinued | $13.80 | $21.88 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $10.96 Typical High $15.14 | Professional | 56 · Pre-op care only | $6.92 | $10.96 | $15.14 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $97.72 Median $346.74 Typical High $1,047.13 | Facility | 50 · Both sides | $97.72 | $346.74 | $1,047.13 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $138.04 Median $162.18 Typical High $263.03 | Professional | 50 · Both sides | $138.04 | $162.18 | $263.03 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $107.15 Typical High $154.88 | Professional | 54 · Surgery only | $83.18 | $107.15 | $154.88 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $112.20 Median $134.90 Typical High $204.17 | Professional | 63 · Small infant | $112.20 | $134.90 | $204.17 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $66.07 Median $85.11 Typical High $120.23 | Professional | 78 · Unplanned return to OR | $66.07 | $85.11 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $54.95 Typical High $75.86 | Professional | 52 · Reduced service | $34.67 | $54.95 | $75.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $21.88 Typical High $30.20 | Professional | 53 · Discontinued | $13.80 | $21.88 | $30.20 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $10.96 Typical High $15.14 | Professional | 56 · Pre-op care only | $6.92 | $10.96 | $15.14 |
MountainHealth Co-op Setting Professional Modifier 50 · Both sides Typical Low $181.97 Median $181.97 Typical High $257.04 | Professional | 50 · Both sides | $181.97 | $181.97 | $257.04 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $85.11 Typical High $117.49 | Professional | 54 · Surgery only | $85.11 | $85.11 | $117.49 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.02 Typical High $16.98 | Professional | 56 · Pre-op care only | $12.02 | $12.02 | $16.98 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $91.20 Median $91.20 Typical High $125.89 | Professional | 78 · Unplanned return to OR | $91.20 | $91.20 | $125.89 |
Where Idaho sits
The same service costs 3.5 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
$110
AK $219FL $63.10
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.