How much rates vary
Facilitymedian $1,820 · 10th to 90th $741 to $7,244Professionalmedian $562 · 10th to 90th $389 to $832
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 $316.23 Median $602.56 Typical High $1,096.48 | Professional | None | $316.23 | $602.56 | $1,096.48 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,445.44 Median $1,995.26 Typical High $8,317.64 | Facility | None | $1,445.44 | $1,995.26 | $8,317.64 |
BCBS Idaho Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $812.83 | Professional | None | $478.63 | $602.56 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,819.70 Typical High $2,454.71 | Facility | None | $1,621.81 | $1,819.70 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $602.56 | Professional | None | $398.11 | $478.63 | $602.56 |
Moda Health Setting Facility Modifier None Typical Low $354.81 Median $1,096.48 Typical High $5,888.44 | Facility | None | $354.81 | $1,096.48 | $5,888.44 |
Moda Health Setting Professional Modifier None Typical Low $407.38 Median $630.96 Typical High $1,096.48 | Professional | None | $407.38 | $630.96 | $1,096.48 |
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 $512.86 Median $512.86 Typical High $741.31 | Facility | None | $512.86 | $512.86 | $741.31 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $512.86 Median $630.96 Typical High $741.31 | Professional | None | $512.86 | $630.96 | $741.31 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,248.07 Median $7,585.78 Typical High $10,471.29 | Facility | None | $5,248.07 | $7,585.78 | $10,471.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $741.31 | Professional | None | $549.54 | $602.56 | $741.31 |
Select Health Setting Facility Modifier None Typical Low $354.81 Median $363.08 Typical High $4,677.35 | Facility | None | $354.81 | $363.08 | $4,677.35 |
Select Health Setting Professional Modifier None Typical Low $331.13 Median $354.81 Typical High $478.63 | Professional | None | $331.13 | $354.81 | $478.63 |
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 $316.23 Median $467.74 Typical High $758.58 | Professional | None | $316.23 | $467.74 | $758.58 |
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 $204.17 Median $416.87 Typical High $549.54 | Professional | 52 · Reduced service | $204.17 | $416.87 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $165.96 Typical High $218.78 | Professional | 53 · Discontinued | $81.28 | $165.96 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $616.60 Typical High $812.83 | Professional | 54 · Surgery only | $309.03 | $616.60 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $123.03 Typical High $165.96 | Professional | 55 · Aftercare only | $61.66 | $123.03 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $83.18 Typical High $109.65 | Professional | 56 · Pre-op care only | $40.74 | $83.18 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $575.44 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $288.40 | $575.44 | $758.58 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $501.19 Typical High $758.58 | Professional | 54 · Surgery only | $426.58 | $501.19 | $758.58 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $57.54 Typical High $79.43 | Professional | 55 · Aftercare only | $47.86 | $57.54 | $79.43 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $575.44 Median $831.76 Typical High $1,000.00 | Professional | 63 · Small infant | $575.44 | $831.76 | $1,000.00 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $407.38 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $331.13 | $407.38 | $588.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $416.87 Typical High $549.54 | Professional | 52 · Reduced service | $204.17 | $416.87 | $549.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $165.96 Typical High $218.78 | Professional | 53 · Discontinued | $81.28 | $165.96 | $218.78 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $616.60 Typical High $812.83 | Professional | 54 · Surgery only | $309.03 | $616.60 | $812.83 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $123.03 Typical High $165.96 | Professional | 55 · Aftercare only | $61.66 | $123.03 | $165.96 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $83.18 Typical High $109.65 | Professional | 56 · Pre-op care only | $40.74 | $83.18 | $109.65 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $575.44 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $288.40 | $575.44 | $758.58 |
Where Idaho sits
The same service costs 4.9 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· 10th of 51
$631
AK $1,479UT $302
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.