How much rates vary
Facilitymedian $2,291 · 10th to 90th $759 to $8,511Professionalmedian $646 · 10th to 90th $479 to $891
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 $512.86 Median $891.25 Typical High $891.25 | Professional | None | $512.86 | $891.25 | $891.25 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,513.56 Median $3,019.95 Typical High $9,120.11 | Facility | None | $1,513.56 | $3,019.95 | $9,120.11 |
BCBS Idaho Setting Professional Modifier None Typical Low $616.60 Median $741.31 Typical High $812.83 | Professional | None | $616.60 | $741.31 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,137.96 Typical High $2,884.03 | Facility | None | $1,905.46 | $2,137.96 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $575.44 Typical High $676.08 | Professional | None | $501.19 | $575.44 | $676.08 |
Moda Health Setting Facility Modifier None Typical Low $426.58 Median $891.25 Typical High $5,495.41 | Facility | None | $426.58 | $891.25 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $512.86 Median $758.58 Typical High $891.25 | Professional | None | $512.86 | $758.58 | $891.25 |
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 $588.84 Median $724.44 Typical High $724.44 | Facility | None | $588.84 | $724.44 | $724.44 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $1,202.26 | Professional | None | $724.44 | $724.44 | $1,202.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,025.60 Median $8,511.38 Typical High $11,481.54 | Facility | None | $6,025.60 | $8,511.38 | $11,481.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $758.58 | Professional | None | $616.60 | $616.60 | $758.58 |
Select Health Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $4,570.88 | Facility | None | $346.74 | $346.74 | $4,570.88 |
Select Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $512.86 | Professional | None | $346.74 | $346.74 | $512.86 |
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 $398.11 Median $602.56 Typical High $851.14 | Professional | None | $398.11 | $602.56 | $851.14 |
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 $257.04 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $257.04 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $102.33 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $380.19 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $75.86 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $51.29 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $630.96 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $354.81 | $630.96 | $630.96 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $676.08 Typical High $724.44 | Professional | 54 · Surgery only | $575.44 | $676.08 | $724.44 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $75.86 Typical High $81.28 | Professional | 55 · Aftercare only | $64.57 | $75.86 | $81.28 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $776.25 Median $912.01 Typical High $977.24 | Professional | 63 · Small infant | $776.25 | $912.01 | $977.24 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $537.03 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $457.09 | $537.03 | $562.34 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $257.04 | $446.68 | $446.68 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $102.33 | $177.83 | $177.83 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $380.19 | $676.08 | $676.08 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $77.62 | $134.90 | $134.90 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $51.29 | $89.13 | $89.13 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $630.96 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $354.81 | $630.96 | $630.96 |
Where Idaho sits
The same service costs 6.2 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· 15th of 51
$759
AK $1,862UT $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.