How much rates vary
Facilitymedian $2,239 · 10th to 90th $933 to $7,762Professionalmedian $955 · 10th to 90th $363 to $2,239
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 $870.96 Median $3,235.94 Typical High $7,762.47 | Facility | None | $870.96 | $3,235.94 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $1,000.00 Typical High $3,090.30 | Professional | None | $309.03 | $1,000.00 | $3,090.30 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,041.74 Median $3,388.44 Typical High $8,317.64 | Facility | None | $2,041.74 | $3,388.44 | $8,317.64 |
BCBS Idaho Setting Professional Modifier None Typical Low $416.87 Median $1,479.11 Typical High $2,041.74 | Professional | None | $416.87 | $1,479.11 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,995.26 Typical High $2,691.53 | Facility | None | $1,778.28 | $1,995.26 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $575.44 Typical High $1,778.28 | Professional | None | $380.19 | $575.44 | $1,778.28 |
Moda Health Setting Facility Modifier None Typical Low $467.74 Median $2,238.72 Typical High $5,011.87 | Facility | None | $467.74 | $2,238.72 | $5,011.87 |
Moda Health Setting Professional Modifier None Typical Low $363.08 Median $1,122.02 Typical High $3,090.30 | Professional | None | $363.08 | $1,122.02 | $3,090.30 |
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 $467.74 Typical High $1,905.46 | Facility | None | $467.74 | $467.74 | $1,905.46 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $467.74 Median $1,905.46 Typical High $1,949.84 | Professional | None | $467.74 | $1,905.46 | $1,949.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,495.41 Median $7,943.28 Typical High $10,471.29 | Facility | None | $5,495.41 | $7,943.28 | $10,471.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $416.87 Median $512.86 Typical High $1,778.28 | Professional | None | $416.87 | $512.86 | $1,778.28 |
Select Health Setting Facility Modifier None Typical Low $891.25 Median $912.01 Typical High $6,309.57 | Facility | None | $891.25 | $912.01 | $6,309.57 |
Select Health Setting Professional Modifier None Typical Low $302.00 Median $891.25 Typical High $1,174.90 | Professional | None | $302.00 | $891.25 | $1,174.90 |
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 $309.03 Median $870.96 Typical High $2,454.71 | Professional | None | $309.03 | $870.96 | $2,454.71 |
12 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 54 · Surgery only Typical Low $257.04 Median $616.60 Typical High $2,290.87 | Professional | 54 · Surgery only | $257.04 | $616.60 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $123.03 Typical High $457.09 | Professional | 55 · Aftercare only | $51.29 | $123.03 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $83.18 Typical High $309.03 | Professional | 56 · Pre-op care only | $34.67 | $83.18 | $309.03 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $2,951.21 Median $5,128.61 Typical High $12,589.25 | Facility | 50 · Both sides | $2,951.21 | $5,128.61 | $12,589.25 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $758.58 Median $1,258.93 Typical High $3,019.95 | Professional | 50 · Both sides | $758.58 | $1,258.93 | $3,019.95 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $501.19 Typical High $1,862.09 | Professional | 54 · Surgery only | $389.05 | $501.19 | $1,862.09 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $169.82 Typical High $213.80 | Professional | 55 · Aftercare only | $43.65 | $169.82 | $213.80 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $524.81 Median $660.69 Typical High $2,511.89 | Professional | 63 · Small infant | $524.81 | $660.69 | $2,511.89 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $1,122.02 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $354.81 | $1,122.02 | $1,479.11 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $616.60 Typical High $2,290.87 | Professional | 54 · Surgery only | $269.15 | $616.60 | $2,290.87 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $123.03 Typical High $457.09 | Professional | 55 · Aftercare only | $53.70 | $123.03 | $457.09 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $83.18 Typical High $309.03 | Professional | 56 · Pre-op care only | $36.31 | $83.18 | $309.03 |
Where Idaho sits
The same service costs 4.8 times more in Alaska than in Nebraska. 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· 13th of 51
$1,514
AK $2,512NE $525
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.