How much rates vary
Facilitymedian $1,698 · 10th to 90th $871 to $7,244Professionalmedian $813 · 10th to 90th $537 to $1,000
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 $1,621.81 Median $4,466.84 Typical High $7,244.36 | Facility | None | $1,621.81 | $4,466.84 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $851.14 Typical High $851.14 | Professional | None | $489.78 | $851.14 | $851.14 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,479.11 Median $2,398.83 Typical High $7,413.10 | Facility | None | $1,479.11 | $2,398.83 | $7,413.10 |
BCBS Idaho Setting Professional Modifier None Typical Low $758.58 Median $954.99 Typical High $1,047.13 | Professional | None | $758.58 | $954.99 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $2,089.30 | Facility | None | $1,380.38 | $1,548.82 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $812.83 | Professional | None | $575.44 | $707.95 | $812.83 |
Moda Health Setting Facility Modifier None Typical Low $537.03 Median $851.14 Typical High $5,495.41 | Facility | None | $537.03 | $851.14 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $645.65 Median $851.14 Typical High $977.24 | Professional | None | $645.65 | $851.14 | $977.24 |
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 $758.58 Median $870.96 Typical High $870.96 | Facility | None | $758.58 | $870.96 | $870.96 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,047.13 | Professional | None | $870.96 | $870.96 | $1,047.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,570.88 Median $6,606.93 Typical High $9,332.54 | Facility | None | $4,570.88 | $6,606.93 | $9,332.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $933.25 | Professional | None | $758.58 | $758.58 | $933.25 |
Select Health Setting Facility Modifier None Typical Low $446.68 Median $457.09 Typical High $3,981.07 | Facility | None | $446.68 | $457.09 | $3,981.07 |
Select Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $616.60 | Professional | None | $446.68 | $446.68 | $616.60 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $1,621.81 | Facility | None | $1,047.13 | $1,412.54 | $1,621.81 |
United Setting Professional Modifier None Typical Low $478.63 Median $660.69 Typical High $1,000.00 | Professional | None | $478.63 | $660.69 | $1,000.00 |
16 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 52 · Reduced service Typical Low $251.19 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $251.19 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $100.00 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $371.54 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $74.13 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $50.12 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $346.74 | $588.84 | $588.84 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $851.14 Typical High $933.25 | Professional | 54 · Surgery only | $758.58 | $851.14 | $933.25 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $95.50 Typical High $104.71 | Professional | 55 · Aftercare only | $83.18 | $95.50 | $104.71 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,000.00 Median $1,148.15 Typical High $1,258.93 | Professional | 63 · Small infant | $1,000.00 | $1,148.15 | $1,258.93 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $660.69 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $588.84 | $660.69 | $724.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $323.59 | $426.58 | $426.58 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $128.82 | $169.82 | $169.82 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $478.63 | $630.96 | $630.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $95.50 | $128.82 | $128.82 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $64.57 | $85.11 | $85.11 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $446.68 | $588.84 | $588.84 |
Where Idaho sits
The same service costs 5.5 times more in Alaska than in Utah. 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· 18th of 51
$871
AK $2,042UT $372
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.