How much rates vary
Facilitymedian $7,762 · 10th to 90th $1,479 to $21,878Professionalmedian $575 · 10th to 90th $389 to $1,023
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 $2,884.03 Median $4,466.84 Typical High $7,762.47 | Facility | None | $2,884.03 | $4,466.84 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $1,023.29 Typical High $1,023.29 | Professional | None | $389.05 | $1,023.29 | $1,023.29 |
BCBS Idaho Setting Facility Modifier None Typical Low $4,677.35 Median $8,912.51 Typical High $22,387.21 | Facility | None | $4,677.35 | $8,912.51 | $22,387.21 |
BCBS Idaho Setting Professional Modifier None Typical Low $524.81 Median $630.96 Typical High $676.08 | Professional | None | $524.81 | $630.96 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $7,079.46 Median $7,943.28 Typical High $10,715.19 | Facility | None | $7,079.46 | $7,943.28 | $10,715.19 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $562.34 | Professional | None | $416.87 | $489.78 | $562.34 |
Moda Health Setting Facility Modifier None Typical Low $275.42 Median $1,023.29 Typical High $5,495.41 | Facility | None | $275.42 | $1,023.29 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $446.68 Median $630.96 Typical High $1,023.29 | Professional | None | $446.68 | $630.96 | $1,023.29 |
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 $467.74 Median $575.44 Typical High $575.44 | Facility | None | $467.74 | $575.44 | $575.44 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $13,182.57 | Professional | None | $575.44 | $575.44 | $13,182.57 |
Regence BlueShield Setting Facility Modifier None Typical Low $15,848.93 Median $21,877.62 Typical High $27,542.29 | Facility | None | $15,848.93 | $21,877.62 | $27,542.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $630.96 Median $676.08 Typical High $707.95 | Professional | None | $630.96 | $676.08 | $707.95 |
Select Health Setting Facility Modifier None Typical Low $275.42 Median $281.84 Typical High $7,413.10 | Facility | None | $275.42 | $281.84 | $7,413.10 |
Select Health Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $416.87 | Professional | None | $275.42 | $275.42 | $416.87 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $5,495.41 Typical High $10,715.19 | Facility | None | $1,584.89 | $5,495.41 | $10,715.19 |
United Setting Professional Modifier None Typical Low $363.08 Median $501.19 Typical High $724.44 | Professional | None | $363.08 | $501.19 | $724.44 |
4 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 54 · Surgery only Typical Low $467.74 Median $549.54 Typical High $575.44 | Professional | 54 · Surgery only | $467.74 | $549.54 | $575.44 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $61.66 Typical High $64.57 | Professional | 55 · Aftercare only | $51.29 | $61.66 | $64.57 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $616.60 Median $741.31 Typical High $776.25 | Professional | 63 · Small infant | $616.60 | $741.31 | $776.25 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $426.58 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $363.08 | $426.58 | $446.68 |
Where Idaho sits
The same service costs 21.5 times more in Oklahoma than in Montana. 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.
Physician feeFacility fee
OK $21,837MT $1,015
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.