How much rates vary
Facilitymedian $871 · 10th to 90th $550 to $4,677Professionalmedian $1,622 · 10th to 90th $1,000 to $2,630
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 $4,466.84 Median $4,466.84 Typical High $5,495.41 | Facility | None | $4,466.84 | $4,466.84 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $2,630.27 Typical High $2,630.27 | Professional | None | $1,000.00 | $2,630.27 | $2,630.27 |
BCBS Idaho Setting Facility Modifier None Typical Low $3,235.94 Median $3,467.37 Typical High $5,128.61 | Facility | None | $3,235.94 | $3,467.37 | $5,128.61 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,479.11 Median $1,737.80 Typical High $1,862.09 | Professional | None | $1,479.11 | $1,737.80 | $1,862.09 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,445.44 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,348.96 | $1,445.44 | $1,659.59 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $162.18 Typical High $186.21 | Professional | 55 · Aftercare only | $147.91 | $162.18 | $186.21 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,122.02 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,122.02 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $1,380.38 Typical High $12,589.25 | Facility | None | $151.36 | $1,380.38 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,479.11 | Professional | None | $1,096.48 | $1,288.25 | $1,479.11 |
Moda Health Setting Facility Modifier None Typical Low $794.33 Median $2,630.27 Typical High $5,495.41 | Facility | None | $794.33 | $2,630.27 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $2,630.27 | Professional | None | $1,174.90 | $1,659.59 | $2,630.27 |
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 $1,348.96 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,348.96 | $1,659.59 | $1,659.59 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,621.81 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,621.81 | $1,659.59 | $1,659.59 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,659.59 Median $1,737.80 Typical High $1,862.09 | Professional | None | $1,659.59 | $1,737.80 | $1,862.09 |
Select Health Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $851.14 | Facility | None | $794.33 | $794.33 | $851.14 |
Select Health Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,096.48 | Professional | None | $794.33 | $794.33 | $1,096.48 |
United Setting Facility Modifier None Typical Low $436.52 Median $676.08 Typical High $870.96 | Facility | None | $436.52 | $676.08 | $870.96 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,318.26 Typical High $1,905.46 | Professional | None | $912.01 | $1,318.26 | $1,905.46 |
1 more rate 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 63 · Small infant Typical Low $1,778.28 Median $1,905.46 Typical High $2,238.72 | Professional | 63 · Small infant | $1,778.28 | $1,905.46 | $2,238.72 |
Where Idaho sits
The same service costs 4.7 times more in Alaska than in Texas. 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· 14th of 51
$1,514
AK $3,548TX $759
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.