How much rates vary
Facilitymedian $2,754 · 10th to 90th $933 to $9,550Professionalmedian $676 · 10th to 90th $447 to $1,202
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 $436.52 Median $1,202.26 Typical High $1,202.26 | Professional | None | $436.52 | $1,202.26 | $1,202.26 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,754.23 Median $3,890.45 Typical High $11,748.98 | Facility | None | $2,754.23 | $3,890.45 | $11,748.98 |
BCBS Idaho Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $794.33 | Professional | None | $630.96 | $741.31 | $794.33 |
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 $489.78 Median $575.44 Typical High $660.69 | Professional | None | $489.78 | $575.44 | $660.69 |
Moda Health Setting Facility Modifier None Typical Low $323.59 Median $1,202.26 Typical High $5,495.41 | Facility | None | $323.59 | $1,202.26 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $524.81 Median $741.31 Typical High $1,202.26 | Professional | None | $524.81 | $741.31 | $1,202.26 |
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 $549.54 Median $676.08 Typical High $676.08 | Facility | None | $549.54 | $676.08 | $676.08 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $5,754.40 | Professional | None | $676.08 | $676.08 | $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 $741.31 Median $794.33 Typical High $831.76 | Professional | None | $741.31 | $794.33 | $831.76 |
Select Health Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $346.74 | Facility | None | $323.59 | $323.59 | $346.74 |
Select Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $489.78 | Professional | None | $323.59 | $323.59 | $489.78 |
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 $436.52 Median $575.44 Typical High $851.14 | Professional | None | $436.52 | $575.44 | $851.14 |
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 $549.54 Median $645.65 Typical High $691.83 | Professional | 54 · Surgery only | $549.54 | $645.65 | $691.83 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $72.44 Typical High $75.86 | Professional | 55 · Aftercare only | $61.66 | $72.44 | $75.86 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $741.31 Median $870.96 Typical High $912.01 | Professional | 63 · Small infant | $741.31 | $870.96 | $912.01 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $512.86 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $426.58 | $512.86 | $537.03 |
Where Idaho sits
The same service costs 5.5 times more in Alaska than in Kentucky. 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· 21st of 51
$832
AK $2,188KY $398
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.