How much rates vary
Facilitymedian $851 · 10th to 90th $550 to $2,951Professionalmedian $912 · 10th to 90th $562 to $1,175
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 $4,466.84 Median $4,466.84 Typical High $5,495.41 | Facility | None | $4,466.84 | $4,466.84 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $758.58 Typical High $1,174.90 | Professional | None | $501.19 | $758.58 | $1,174.90 |
BCBS Idaho Setting Facility Modifier None Typical Low $691.83 Median $1,659.59 Typical High $2,951.21 | Facility | None | $691.83 | $1,659.59 | $2,951.21 |
BCBS Idaho Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $1,023.29 | Professional | None | $831.76 | $933.25 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $831.76 | Professional | None | $616.60 | $776.25 | $831.76 |
Moda Health Setting Facility Modifier None Typical Low $436.52 Median $1,174.90 Typical High $5,495.41 | Facility | None | $436.52 | $1,174.90 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $616.60 Median $1,148.15 Typical High $1,174.90 | Professional | None | $616.60 | $1,148.15 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $77.62 | Professional | None | $30.20 | $30.20 | $77.62 |
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 $1,148.15 | Professional | None | $912.01 | $912.01 | $1,148.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,122.02 | Facility | None | $691.83 | $851.14 | $1,122.02 |
Regence BlueShield Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,148.15 | Professional | None | $933.25 | $933.25 | $1,148.15 |
Select Health Setting Facility Modifier None Typical Low $436.52 Median $446.68 Typical High $3,235.94 | Facility | None | $436.52 | $446.68 | $3,235.94 |
Select Health Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $602.56 | Professional | None | $436.52 | $436.52 | $602.56 |
United Setting Facility Modifier None Typical Low $436.52 Median $676.08 Typical High $870.96 | Facility | None | $436.52 | $676.08 | $870.96 |
United Setting Professional Modifier None Typical Low $537.03 Median $812.83 Typical High $1,288.25 | Professional | None | $537.03 | $812.83 | $1,288.25 |
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 $741.31 Median $851.14 Typical High $933.25 | Professional | 54 · Surgery only | $741.31 | $851.14 | $933.25 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $95.50 Typical High $102.33 | Professional | 55 · Aftercare only | $83.18 | $95.50 | $102.33 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,000.00 Median $1,148.15 Typical High $1,230.27 | Professional | 63 · Small infant | $1,000.00 | $1,148.15 | $1,230.27 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $660.69 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $575.44 | $660.69 | $724.44 |
Where Idaho sits
The same service costs 4.0 times more in Wisconsin than in Maryland. 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
$891
WI $1,950MD $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.