How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,096 to $13,183Professionalmedian $234 · 10th to 90th $162 to $398
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 $165.96 Median $398.11 Typical High $398.11 | Professional | None | $165.96 | $398.11 | $398.11 |
BCBS Idaho Setting Facility Modifier None Typical Low $4,168.69 Median $6,025.60 Typical High $14,454.40 | Facility | None | $4,168.69 | $6,025.60 | $14,454.40 |
BCBS Idaho Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $281.84 | Professional | None | $213.80 | $263.03 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $3,890.45 Typical High $5,370.32 | Facility | None | $3,467.37 | $3,890.45 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $204.17 Typical High $229.09 | Professional | None | $162.18 | $204.17 | $229.09 |
Moda Health Setting Facility Modifier None Typical Low $165.96 Median $398.11 Typical High $5,495.41 | Facility | None | $165.96 | $398.11 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $173.78 Median $251.19 Typical High $398.11 | Professional | None | $173.78 | $251.19 | $398.11 |
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 $190.55 Median $234.42 Typical High $234.42 | Facility | None | $190.55 | $234.42 | $234.42 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $8,511.38 | Professional | None | $234.42 | $234.42 | $8,511.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,332.54 Median $13,182.57 Typical High $17,782.79 | Facility | None | $9,332.54 | $13,182.57 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $251.19 Median $263.03 Typical High $281.84 | Professional | None | $251.19 | $263.03 | $281.84 |
Select Health Setting Facility Modifier None Typical Low $109.65 Median $112.20 Typical High $6,760.83 | Facility | None | $109.65 | $112.20 | $6,760.83 |
Select Health Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $165.96 | Professional | None | $109.65 | $109.65 | $165.96 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,818.38 Typical High $4,265.80 | Facility | None | $1,288.25 | $2,818.38 | $4,265.80 |
United Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $288.40 | Professional | None | $144.54 | $208.93 | $288.40 |
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 $186.21 Median $229.09 Typical High $239.88 | Professional | 54 · Surgery only | $186.21 | $229.09 | $239.88 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $25.12 Typical High $26.92 | Professional | 55 · Aftercare only | $20.89 | $25.12 | $26.92 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $251.19 Median $302.00 Typical High $316.23 | Professional | 63 · Small infant | $251.19 | $302.00 | $316.23 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $177.83 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $144.54 | $177.83 | $186.21 |
Where Idaho sits
The same service costs 17.8 times more in Arkansas than in New York. 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· 15th of 51
$398
AR $2,570NY $145
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.