How much rates vary
Facilitymedian $1,445 · 10th to 90th $759 to $5,495Professionalmedian $871 · 10th to 90th $575 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 $3,388.44 Median $4,466.84 Typical High $8,709.64 | Facility | None | $3,388.44 | $4,466.84 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $933.25 Typical High $1,174.90 | Professional | None | $676.08 | $933.25 | $1,174.90 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,380.38 Median $2,344.23 Typical High $6,025.60 | Facility | None | $1,380.38 | $2,344.23 | $6,025.60 |
BCBS Idaho Setting Professional Modifier None Typical Low $707.95 Median $1,000.00 Typical High $1,202.26 | Professional | None | $707.95 | $1,000.00 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $1,819.70 | Facility | None | $1,202.26 | $1,348.96 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $691.83 Typical High $870.96 | Professional | None | $416.87 | $691.83 | $870.96 |
Moda Health Setting Facility Modifier None Typical Low $501.19 Median $1,023.29 Typical High $5,495.41 | Facility | None | $501.19 | $1,023.29 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $660.69 Median $912.01 Typical High $1,174.90 | Professional | None | $660.69 | $912.01 | $1,174.90 |
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 $741.31 Median $741.31 Typical High $1,071.52 | Facility | None | $741.31 | $741.31 | $1,071.52 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $645.65 Median $933.25 Typical High $1,348.96 | Professional | None | $645.65 | $933.25 | $1,348.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,890.45 Median $5,495.41 Typical High $7,585.78 | Facility | None | $3,890.45 | $5,495.41 | $7,585.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $1,096.48 | Professional | None | $724.44 | $912.01 | $1,096.48 |
Select Health Setting Facility Modifier None Typical Low $512.86 Median $524.81 Typical High $3,890.45 | Facility | None | $512.86 | $524.81 | $3,890.45 |
Select Health Setting Professional Modifier None Typical Low $512.86 Median $691.83 Typical High $1,445.44 | Professional | None | $512.86 | $691.83 | $1,445.44 |
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 $467.74 Median $645.65 Typical High $1,000.00 | Professional | None | $467.74 | $645.65 | $1,000.00 |
22 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 $426.58 Median $467.74 Typical High $588.84 | Professional | 52 · Reduced service | $426.58 | $467.74 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $186.21 Typical High $234.42 | Professional | 53 · Discontinued | $173.78 | $186.21 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $707.95 Typical High $891.25 | Professional | 54 · Surgery only | $645.65 | $707.95 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $141.25 Typical High $177.83 | Professional | 55 · Aftercare only | $128.82 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $93.33 Typical High $117.49 | Professional | 56 · Pre-op care only | $85.11 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $660.69 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $602.56 | $660.69 | $831.76 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $2,089.30 Median $3,467.37 Typical High $9,120.11 | Facility | 50 · Both sides | $2,089.30 | $3,467.37 | $9,120.11 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $1,023.29 Median $1,548.82 Typical High $1,819.70 | Professional | 50 · Both sides | $1,023.29 | $1,548.82 | $1,819.70 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $933.25 Typical High $1,096.48 | Professional | 54 · Surgery only | $616.60 | $933.25 | $1,096.48 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $83.18 Typical High $134.90 | Professional | 55 · Aftercare only | $69.18 | $83.18 | $134.90 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $851.14 Median $1,202.26 Typical High $1,621.81 | Professional | 63 · Small infant | $851.14 | $1,202.26 | $1,621.81 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $588.84 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $478.63 | $588.84 | $776.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $467.74 Typical High $588.84 | Professional | 52 · Reduced service | $426.58 | $467.74 | $588.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $186.21 Typical High $234.42 | Professional | 53 · Discontinued | $173.78 | $186.21 | $234.42 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $707.95 Typical High $891.25 | Professional | 54 · Surgery only | $645.65 | $707.95 | $891.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $141.25 Typical High $177.83 | Professional | 55 · Aftercare only | $128.82 | $141.25 | $177.83 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $93.33 Typical High $117.49 | Professional | 56 · Pre-op care only | $85.11 | $93.33 | $117.49 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $660.69 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $602.56 | $660.69 | $831.76 |
MountainHealth Co-op Setting Professional Modifier 50 · Both sides Typical Low $1,621.81 Median $1,621.81 Typical High $2,041.74 | Professional | 50 · Both sides | $1,621.81 | $1,621.81 | $2,041.74 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $954.99 | Professional | 54 · Surgery only | $758.58 | $758.58 | $954.99 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $134.90 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $134.90 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $1,023.29 |
Where Idaho sits
The same service costs 6.5 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· 8th of 51
$912
AK $2,239UT $347
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.