How much rates vary
Facilitymedian $2,754 · 10th to 90th $933 to $9,550Professionalmedian $813 · 10th to 90th $550 to $1,445
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 $794.33 Median $4,466.84 Typical High $8,709.64 | Facility | None | $794.33 | $4,466.84 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $1,445.44 Typical High $1,445.44 | Professional | None | $549.54 | $1,445.44 | $1,445.44 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,754.23 Median $3,890.45 Typical High $10,232.93 | Facility | None | $2,754.23 | $3,890.45 | $10,232.93 |
BCBS Idaho Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $954.99 | Professional | None | $758.58 | $891.25 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,570.40 Typical High $3,467.37 | Facility | None | $2,290.87 | $2,570.40 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $707.95 Typical High $812.83 | Professional | None | $602.56 | $707.95 | $812.83 |
Moda Health Setting Facility Modifier None Typical Low $588.84 Median $1,445.44 Typical High $5,495.41 | Facility | None | $588.84 | $1,445.44 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $645.65 Median $912.01 Typical High $1,445.44 | Professional | None | $645.65 | $912.01 | $1,445.44 |
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 $660.69 Median $812.83 Typical High $812.83 | Facility | None | $660.69 | $812.83 | $812.83 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $5,754.40 | Professional | None | $812.83 | $812.83 | $5,754.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,606.93 Median $9,549.93 Typical High $12,882.50 | Facility | None | $6,606.93 | $9,549.93 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $912.01 Median $954.99 Typical High $1,000.00 | Professional | None | $912.01 | $954.99 | $1,000.00 |
Select Health Setting Facility Modifier None Typical Low $389.05 Median $398.11 Typical High $6,025.60 | Facility | None | $389.05 | $398.11 | $6,025.60 |
Select Health Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $588.84 | Professional | None | $389.05 | $389.05 | $588.84 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,819.70 Typical High $2,398.83 | Facility | None | $1,412.54 | $1,819.70 | $2,398.83 |
United Setting Professional Modifier None Typical Low $501.19 Median $707.95 Typical High $1,047.13 | Professional | None | $501.19 | $707.95 | $1,047.13 |
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 $660.69 Median $776.25 Typical High $812.83 | Professional | 54 · Surgery only | $660.69 | $776.25 | $812.83 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $87.10 Typical High $91.20 | Professional | 55 · Aftercare only | $72.44 | $87.10 | $91.20 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $870.96 Median $1,047.13 Typical High $1,096.48 | Professional | 63 · Small infant | $870.96 | $1,047.13 | $1,096.48 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $616.60 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $512.86 | $616.60 | $645.65 |
Where Idaho sits
The same service costs 5.4 times more in Connecticut 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
CT $7,713MT $1,433
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.