How much rates vary
Facilitymedian $224 · 10th to 90th $79 to $1,023Professionalmedian $178 · 10th to 90th $107 to $245
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 $104.71 Median $199.53 Typical High $275.42 | Professional | None | $104.71 | $199.53 | $275.42 |
BCBS Idaho Setting Facility Modifier None Typical Low $81.28 Median $316.23 Typical High $1,023.29 | Facility | None | $81.28 | $316.23 | $1,023.29 |
BCBS Idaho Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $251.19 | Professional | None | $144.54 | $208.93 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $79.43 Typical High $107.15 | Facility | None | $70.79 | $79.43 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $144.54 Typical High $177.83 | Professional | None | $79.43 | $144.54 | $177.83 |
Moda Health Setting Facility Modifier None Typical Low $107.15 Median $245.47 Typical High $4,466.84 | Facility | None | $107.15 | $245.47 | $4,466.84 |
Moda Health Setting Professional Modifier None Typical Low $97.72 Median $190.55 Typical High $245.47 | Professional | None | $97.72 | $190.55 | $245.47 |
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 $151.36 Median $151.36 Typical High $223.87 | Facility | None | $151.36 | $151.36 | $223.87 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $131.83 Median $194.98 Typical High $281.84 | Professional | None | $131.83 | $194.98 | $281.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $602.56 Median $870.96 Typical High $1,096.48 | Facility | None | $602.56 | $870.96 | $1,096.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $151.36 Median $190.55 Typical High $223.87 | Professional | None | $151.36 | $190.55 | $223.87 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $109.65 Typical High $776.25 | Facility | None | $107.15 | $109.65 | $776.25 |
Select Health Setting Professional Modifier None Typical Low $57.54 Median $107.15 Typical High $165.96 | Professional | None | $57.54 | $107.15 | $165.96 |
United Setting Facility Modifier None Typical Low $144.54 Median $363.08 Typical High $501.19 | Facility | None | $144.54 | $363.08 | $501.19 |
United Setting Professional Modifier None Typical Low $107.15 Median $144.54 Typical High $204.17 | Professional | None | $107.15 | $144.54 | $204.17 |
20 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 $87.10 Median $97.72 Typical High $123.03 | Professional | 52 · Reduced service | $87.10 | $97.72 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $39.81 Typical High $48.98 | Professional | 53 · Discontinued | $34.67 | $39.81 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $147.91 Typical High $181.97 | Professional | 54 · Surgery only | $128.82 | $147.91 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $29.51 Typical High $36.31 | Professional | 55 · Aftercare only | $25.70 | $29.51 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $19.95 Typical High $24.55 | Professional | 56 · Pre-op care only | $17.38 | $19.95 | $24.55 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $123.03 Median $323.59 Typical High $1,174.90 | Facility | 50 · Both sides | $123.03 | $323.59 | $1,174.90 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $208.93 Median $323.59 Typical High $426.58 | Professional | 50 · Both sides | $208.93 | $323.59 | $426.58 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $151.36 Typical High $251.19 | Professional | 54 · Surgery only | $125.89 | $151.36 | $251.19 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $17.38 Typical High $28.18 | Professional | 55 · Aftercare only | $15.85 | $17.38 | $28.18 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $165.96 Median $257.04 Typical High $302.00 | Professional | 63 · Small infant | $165.96 | $257.04 | $302.00 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $97.72 Median $117.49 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $97.72 | $117.49 | $194.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $97.72 Typical High $123.03 | Professional | 52 · Reduced service | $87.10 | $97.72 | $123.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $39.81 Typical High $48.98 | Professional | 53 · Discontinued | $34.67 | $39.81 | $48.98 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $147.91 Typical High $181.97 | Professional | 54 · Surgery only | $128.82 | $147.91 | $181.97 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $29.51 Typical High $36.31 | Professional | 55 · Aftercare only | $25.70 | $29.51 | $36.31 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $19.95 Typical High $24.55 | Professional | 56 · Pre-op care only | $17.38 | $19.95 | $24.55 |
MountainHealth Co-op Setting Professional Modifier 50 · Both sides Typical Low $338.84 Median $338.84 Typical High $416.87 | Professional | 50 · Both sides | $338.84 | $338.84 | $416.87 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $158.49 Typical High $194.98 | Professional | 54 · Surgery only | $158.49 | $158.49 | $194.98 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $28.18 | Professional | 56 · Pre-op care only | $22.91 | $22.91 | $28.18 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $169.82 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $169.82 | $169.82 | $208.93 |
Where Idaho sits
The same service costs 3.7 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· 11th of 51
$182
AK $363FL $97.72
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.