How much rates vary
Facilitymedian $269 · 10th to 90th $123 to $708Professionalmedian $158 · 10th to 90th $98 to $257
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 $1,412.54 Median $4,466.84 Typical High $7,079.46 | Facility | None | $1,412.54 | $4,466.84 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $158.49 Typical High $269.15 | Professional | None | $91.20 | $158.49 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $74.13 Median $117.49 Typical High $204.17 | Professional | 54 · Surgery only | $74.13 | $117.49 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $23.44 Typical High $40.74 | Professional | 55 · Aftercare only | $14.79 | $23.44 | $40.74 |
BCBS Idaho Setting Facility Modifier None Typical Low $194.98 Median $323.59 Typical High $512.86 | Facility | None | $194.98 | $323.59 | $512.86 |
BCBS Idaho Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $251.19 | Professional | None | $104.71 | $173.78 | $251.19 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $123.03 Typical High $223.87 | Professional | 54 · Surgery only | $104.71 | $123.03 | $223.87 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $21.88 Typical High $25.70 | Professional | 55 · Aftercare only | $11.22 | $21.88 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $128.82 Typical High $181.97 | Professional | None | $97.72 | $128.82 | $181.97 |
Hally Health Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $309.03 | Professional | None | $263.03 | $263.03 | $309.03 |
Moda Health Setting Facility Modifier None Typical Low $158.49 Median $269.15 Typical High $5,495.41 | Facility | None | $158.49 | $269.15 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $102.33 Median $158.49 Typical High $269.15 | Professional | None | $102.33 | $158.49 | $269.15 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $117.49 Typical High $204.17 | Professional | 54 · Surgery only | $81.28 | $117.49 | $204.17 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $23.44 Typical High $40.74 | Professional | 55 · Aftercare only | $16.22 | $23.44 | $40.74 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $66.07 | Professional | None | $33.11 | $33.11 | $66.07 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $229.09 | Facility | None | $123.03 | $123.03 | $229.09 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $123.03 Median $158.49 Typical High $229.09 | Professional | None | $123.03 | $158.49 | $229.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $223.87 | Professional | None | $104.71 | $147.91 | $223.87 |
Select Health Setting Facility Modifier None Typical Low $109.65 Median $112.20 Typical High $177.83 | Facility | None | $109.65 | $112.20 | $177.83 |
Select Health Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $169.82 | Professional | None | $109.65 | $109.65 | $169.82 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $8,317.64 Typical High $9,332.54 | Facility | None | $1,862.09 | $8,317.64 | $9,332.54 |
United Setting Professional Modifier None Typical Low $75.86 Median $117.49 Typical High $199.53 | Professional | None | $75.86 | $117.49 | $199.53 |
8 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 $48.98 Median $79.43 Typical High $134.90 | Professional | 52 · Reduced service | $48.98 | $79.43 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $31.62 Typical High $54.95 | Professional | 53 · Discontinued | $19.50 | $31.62 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $15.85 Typical High $26.92 | Professional | 56 · Pre-op care only | $9.77 | $15.85 | $26.92 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $134.90 Median $251.19 Typical High $309.03 | Professional | 63 · Small infant | $134.90 | $251.19 | $309.03 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $79.43 Median $93.33 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $79.43 | $93.33 | $169.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $79.43 Typical High $134.90 | Professional | 52 · Reduced service | $54.95 | $79.43 | $134.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $31.62 Typical High $54.95 | Professional | 53 · Discontinued | $21.88 | $31.62 | $54.95 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $15.85 Typical High $26.92 | Professional | 56 · Pre-op care only | $10.96 | $15.85 | $26.92 |
Where Idaho sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 9th of 51
$158
AK $282FL $87.10
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.