How much rates vary
Facilitymedian $1,122 · 10th to 90th $200 to $2,692Professionalmedian $245 · 10th to 90th $123 to $562
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 $138.04 Median $446.68 Typical High $4,466.84 | Facility | None | $138.04 | $446.68 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $245.47 Typical High $588.84 | Professional | None | $107.15 | $245.47 | $588.84 |
BCBS Idaho Setting Facility Modifier None Typical Low $933.25 Median $1,318.26 Typical High $2,089.30 | Facility | None | $933.25 | $1,318.26 | $2,089.30 |
BCBS Idaho Setting Professional Modifier None Typical Low $134.90 Median $302.00 Typical High $457.09 | Professional | None | $134.90 | $302.00 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $234.42 Typical High $407.38 | Professional | None | $123.03 | $234.42 | $407.38 |
Moda Health Setting Facility Modifier None Typical Low $223.87 Median $1,288.25 Typical High $4,897.79 | Facility | None | $223.87 | $1,288.25 | $4,897.79 |
Moda Health Setting Professional Modifier None Typical Low $117.49 Median $245.47 Typical High $588.84 | Professional | None | $117.49 | $245.47 | $588.84 |
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 $144.54 Median $144.54 Typical High $416.87 | Facility | None | $144.54 | $144.54 | $416.87 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $144.54 Median $213.80 Typical High $524.81 | Professional | None | $144.54 | $213.80 | $524.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,230.27 Median $1,778.28 Typical High $2,238.72 | Facility | None | $1,230.27 | $1,778.28 | $2,238.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $165.96 Median $218.78 Typical High $549.54 | Professional | None | $165.96 | $218.78 | $549.54 |
Select Health Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $1,905.46 | Facility | None | $199.53 | $199.53 | $1,905.46 |
Select Health Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $275.42 | Professional | None | $89.13 | $104.71 | $275.42 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,168.69 Typical High $4,466.84 | Facility | None | $2,691.53 | $4,168.69 | $4,466.84 |
United Setting Professional Modifier None Typical Low $97.72 Median $234.42 Typical High $478.63 | Professional | None | $97.72 | $234.42 | $478.63 |
7 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 $120.23 Median $380.19 Typical High $407.38 | Professional | 54 · Surgery only | $120.23 | $380.19 | $407.38 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $38.90 Typical High $45.71 | Professional | 55 · Aftercare only | $13.80 | $38.90 | $45.71 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $165.96 Median $194.98 Typical High $549.54 | Professional | 63 · Small infant | $165.96 | $194.98 | $549.54 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $114.82 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $93.33 | $114.82 | $316.23 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $194.98 Typical High $380.19 | Professional | 54 · Surgery only | $147.91 | $194.98 | $380.19 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $28.18 Typical High $54.95 | Professional | 56 · Pre-op care only | $21.38 | $28.18 | $54.95 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $208.93 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $158.49 | $208.93 | $407.38 |
Where Idaho sits
The same service costs 4.1 times more in Minnesota than in Kentucky. 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
$257
MN $363KY $89.13
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.