How much rates vary
Facilitymedian $1,820 · 10th to 90th $759 to $7,244Professionalmedian $692 · 10th to 90th $501 to $933
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 $1,096.48 Median $1,621.81 Typical High $7,244.36 | Facility | None | $1,096.48 | $1,621.81 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $912.01 Typical High $1,122.02 | Professional | None | $512.86 | $912.01 | $1,122.02 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,698.24 Median $2,089.30 Typical High $8,317.64 | Facility | None | $1,698.24 | $2,089.30 | $8,317.64 |
BCBS Idaho Setting Professional Modifier None Typical Low $588.84 Median $741.31 Typical High $912.01 | Professional | None | $588.84 | $741.31 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,819.70 Typical High $2,454.71 | Facility | None | $1,621.81 | $1,819.70 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $630.96 Typical High $758.58 | Professional | None | $512.86 | $630.96 | $758.58 |
Moda Health Setting Facility Modifier None Typical Low $309.03 Median $1,096.48 Typical High $4,466.84 | Facility | None | $309.03 | $1,096.48 | $4,466.84 |
Moda Health Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $1,122.02 | Professional | None | $537.03 | $758.58 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $831.76 | Facility | None | $630.96 | $630.96 | $831.76 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $630.96 Median $776.25 Typical High $851.14 | Professional | None | $630.96 | $776.25 | $851.14 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,248.07 Median $7,585.78 Typical High $10,471.29 | Facility | None | $5,248.07 | $7,585.78 | $10,471.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $851.14 | Professional | None | $691.83 | $741.31 | $851.14 |
Select Health Setting Facility Modifier None Typical Low $398.11 Median $407.38 Typical High $4,677.35 | Facility | None | $398.11 | $407.38 | $4,677.35 |
Select Health Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $537.03 | Professional | None | $398.11 | $398.11 | $537.03 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $1,621.81 | Facility | None | $1,047.13 | $1,412.54 | $1,621.81 |
United Setting Professional Modifier None Typical Low $389.05 Median $575.44 Typical High $933.25 | Professional | None | $389.05 | $575.44 | $933.25 |
18 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 $257.04 Median $457.09 Typical High $562.34 | Professional | 52 · Reduced service | $257.04 | $457.09 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $181.97 Typical High $223.87 | Professional | 53 · Discontinued | $102.33 | $181.97 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $676.08 Typical High $831.76 | Professional | 54 · Surgery only | $389.05 | $676.08 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $134.90 Typical High $165.96 | Professional | 55 · Aftercare only | $77.62 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $91.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $51.29 | $91.20 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $630.96 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $363.08 | $630.96 | $776.25 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $2,511.89 Median $2,951.21 Typical High $12,589.25 | Facility | 50 · Both sides | $2,511.89 | $2,951.21 | $12,589.25 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $891.25 Median $1,174.90 Typical High $1,412.54 | Professional | 50 · Both sides | $891.25 | $1,174.90 | $1,412.54 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $616.60 Typical High $707.95 | Professional | 54 · Surgery only | $524.81 | $616.60 | $707.95 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $69.18 Typical High $89.13 | Professional | 55 · Aftercare only | $58.88 | $69.18 | $89.13 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $707.95 Median $831.76 Typical High $1,096.48 | Professional | 63 · Small infant | $707.95 | $831.76 | $1,096.48 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $524.81 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $446.68 | $524.81 | $645.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $457.09 Typical High $562.34 | Professional | 52 · Reduced service | $281.84 | $457.09 | $562.34 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $181.97 Typical High $223.87 | Professional | 53 · Discontinued | $112.20 | $181.97 | $223.87 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $676.08 Typical High $831.76 | Professional | 54 · Surgery only | $426.58 | $676.08 | $831.76 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $134.90 Typical High $165.96 | Professional | 55 · Aftercare only | $85.11 | $134.90 | $165.96 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $91.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $56.23 | $91.20 | $112.20 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $630.96 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $398.11 | $630.96 | $776.25 |
Where Idaho sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 9th of 51
$776
AK $1,698UT $347
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.