How much rates vary
Facilitymedian $1,585 · 10th to 90th $933 to $2,138Professionalmedian $1,660 · 10th to 90th $1,175 to $2,455
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Professional Modifier None Typical Low $1,148.15 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,148.15 | $1,621.81 | $1,621.81 |
BCBS Idaho Setting Facility Modifier None Typical Low $933.25 Median $1,412.54 Typical High $1,819.70 | Facility | None | $933.25 | $1,412.54 | $1,819.70 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,621.81 Median $2,238.72 Typical High $2,570.40 | Professional | None | $1,621.81 | $2,238.72 | $2,570.40 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,698.24 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,698.24 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,698.24 Typical High $1,995.26 | Professional | None | $1,288.25 | $1,698.24 | $1,995.26 |
Moda Health Setting Facility Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $2,344.23 | Facility | None | $1,479.11 | $1,621.81 | $2,344.23 |
Moda Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $2,089.30 | Professional | None | $1,479.11 | $1,621.81 | $2,089.30 |
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 $1,949.84 Median $2,137.96 Typical High $2,137.96 | Facility | None | $1,949.84 | $2,137.96 | $2,137.96 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,659.59 Median $2,137.96 Typical High $2,137.96 | Professional | None | $1,659.59 | $2,137.96 | $2,137.96 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,230.27 | $1,230.27 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,380.38 Median $1,621.81 Typical High $1,995.26 | Professional | None | $1,380.38 | $1,621.81 | $1,995.26 |
Select Health Setting Facility Modifier None Typical Low $912.01 Median $1,122.02 Typical High $1,148.15 | Facility | None | $912.01 | $1,122.02 | $1,148.15 |
Select Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,905.46 | Professional | None | $1,122.02 | $1,122.02 | $1,905.46 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $1,819.70 | Professional | None | $1,000.00 | $1,288.25 | $1,819.70 |
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 |
|---|---|---|---|---|---|
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | 22 · Increased work | $1,819.70 | $1,819.70 | $1,819.70 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $1,148.15 | $1,148.15 | $1,148.15 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $165.96 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | 63 · Small infant | $1,819.70 | $1,819.70 | $1,819.70 |
Where Idaho sits
The same service costs 3.2 times more in Alaska than in New York. 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· 13th of 51
$1,660
AK $2,692NY $851
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.