How much rates vary
Facilitymedian $3,162 · 10th to 90th $933 to $8,318Professionalmedian $891 · 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 $3,388.44 Median $4,466.84 Typical High $8,709.64 | Facility | None | $3,388.44 | $4,466.84 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $1,445.44 Typical High $1,445.44 | Professional | None | $562.34 | $1,445.44 | $1,445.44 |
BCBS Idaho Setting Facility Modifier None Typical Low $3,162.28 Median $5,128.61 Typical High $8,317.64 | Facility | None | $3,162.28 | $5,128.61 | $8,317.64 |
BCBS Idaho Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,023.29 | Professional | None | $831.76 | $954.99 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $2,884.03 Typical High $3,890.45 | Facility | None | $2,570.40 | $2,884.03 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $707.95 Typical High $812.83 | Professional | None | $588.84 | $707.95 | $812.83 |
Moda Health Setting Facility Modifier None Typical Low $537.03 Median $1,445.44 Typical High $5,495.41 | Facility | None | $537.03 | $1,445.44 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $1,445.44 | Professional | None | $645.65 | $891.25 | $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 $741.31 Median $912.01 Typical High $912.01 | Facility | None | $741.31 | $912.01 | $912.01 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $5,011.87 | Professional | None | $912.01 | $912.01 | $5,011.87 |
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 $891.25 Median $954.99 Typical High $1,000.00 | Professional | None | $891.25 | $954.99 | $1,000.00 |
Select Health Setting Facility Modifier None Typical Low $426.58 Median $436.52 Typical High $6,309.57 | Facility | None | $426.58 | $436.52 | $6,309.57 |
Select Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $602.56 | Professional | None | $426.58 | $426.58 | $602.56 |
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 $457.09 Median $724.44 Typical High $1,023.29 | Professional | None | $457.09 | $724.44 | $1,023.29 |
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 $724.44 Median $870.96 Typical High $912.01 | Professional | 54 · Surgery only | $724.44 | $870.96 | $912.01 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $97.72 Typical High $102.33 | Professional | 55 · Aftercare only | $81.28 | $97.72 | $102.33 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $977.24 Median $1,174.90 Typical High $1,202.26 | Professional | 63 · Small infant | $977.24 | $1,174.90 | $1,202.26 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $676.08 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $575.44 | $676.08 | $707.95 |
Where Idaho sits
The same service costs 5.4 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· 17th of 51
$1,096
AK $2,630TX $490
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.