How much rates vary
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 $295.12 Median $489.78 Typical High $489.78 | Professional | None | $295.12 | $489.78 | $489.78 |
BCBS Idaho Setting Facility Modifier None Typical Low $281.84 Median $426.58 Typical High $549.54 | Facility | None | $281.84 | $426.58 | $549.54 |
BCBS Idaho Setting Professional Modifier None Typical Low $489.78 Median $707.95 Typical High $812.83 | Professional | None | $489.78 | $707.95 | $812.83 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $537.03 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $346.74 | $537.03 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $512.86 Typical High $588.84 | Professional | None | $407.38 | $512.86 | $588.84 |
Moda Health Setting Facility Modifier None Typical Low $457.09 Median $489.78 Typical High $707.95 | Facility | None | $457.09 | $489.78 | $707.95 |
Moda Health Setting Professional Modifier None Typical Low $302.00 Median $489.78 Typical High $645.65 | Professional | None | $302.00 | $489.78 | $645.65 |
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 $602.56 Median $676.08 Typical High $676.08 | Facility | None | $602.56 | $676.08 | $676.08 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $501.19 Median $676.08 Typical High $676.08 | Professional | None | $501.19 | $676.08 | $676.08 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $371.54 | $371.54 | $371.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $602.56 | Professional | None | $416.87 | $489.78 | $602.56 |
Select Health Setting Facility Modifier None Typical Low $281.84 Median $354.81 Typical High $363.08 | Facility | None | $281.84 | $354.81 | $363.08 |
Select Health Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $575.44 | Professional | None | $354.81 | $354.81 | $575.44 |
United Setting Professional Modifier None Typical Low $309.03 Median $389.05 Typical High $549.54 | Professional | None | $309.03 | $389.05 | $549.54 |
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 $549.54 Median $549.54 Typical High $549.54 | Professional | 22 · Increased work | $549.54 | $549.54 | $549.54 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 54 · Surgery only | $346.74 | $346.74 | $346.74 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $50.12 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 63 · Small infant | $549.54 | $549.54 | $549.54 |
Where Idaho sits
The same service costs 2.8 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· 12th of 51
$501
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.