How much rates vary
Facilitymedian $275 · 10th to 90th $34 to $933Professionalmedian $48 · 10th to 90th $31 to $132
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 Professional Modifier None Typical Low $29.51 Median $51.29 Typical High $91.20 | Professional | None | $29.51 | $51.29 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $25.70 Typical High $45.71 | Professional | 52 · Reduced service | $14.45 | $25.70 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $10.23 Typical High $18.20 | Professional | 53 · Discontinued | $5.89 | $10.23 | $18.20 |
BCBS Idaho Setting Facility Modifier None Typical Low $104.71 Median $295.12 Typical High $933.25 | Facility | None | $104.71 | $295.12 | $933.25 |
BCBS Idaho Setting Professional Modifier None Typical Low $32.36 Median $89.13 Typical High $158.49 | Professional | None | $32.36 | $89.13 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $66.07 Typical High $107.15 | Professional | None | $32.36 | $66.07 | $107.15 |
Moda Health Setting Facility Modifier None Typical Low $29.51 Median $44.67 Typical High $95.50 | Facility | None | $29.51 | $44.67 | $95.50 |
Moda Health Setting Professional Modifier None Typical Low $30.90 Median $66.07 Typical High $117.49 | Professional | None | $30.90 | $66.07 | $117.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $25.70 Typical High $45.71 | Professional | 52 · Reduced service | $14.45 | $25.70 | $45.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $10.23 Typical High $18.20 | Professional | 53 · Discontinued | $5.89 | $10.23 | $18.20 |
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 $33.88 Median $33.88 Typical High $131.83 | Facility | None | $33.88 | $33.88 | $131.83 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $131.83 | Professional | None | $32.36 | $33.88 | $131.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $512.86 Median $741.31 Typical High $1,023.29 | Facility | None | $512.86 | $741.31 | $1,023.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $33.11 Median $57.54 Typical High $117.49 | Professional | None | $33.11 | $57.54 | $117.49 |
Select Health Setting Facility Modifier None Typical Low $69.18 Median $70.79 Typical High $398.11 | Facility | None | $69.18 | $70.79 | $398.11 |
Select Health Setting Professional Modifier None Typical Low $22.91 Median $26.30 Typical High $91.20 | Professional | None | $22.91 | $26.30 | $91.20 |
United Setting Professional Modifier None Typical Low $24.55 Median $64.57 Typical High $120.23 | Professional | None | $24.55 | $64.57 | $120.23 |
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 |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $23.44 Median $28.84 Typical High $95.50 | Professional | 78 · Unplanned return to OR | $23.44 | $28.84 | $95.50 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $19.95 Median $19.95 Typical High $63.10 | Professional | 54 · Surgery only | $19.95 | $19.95 | $63.10 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $2.82 Typical High $8.91 | Professional | 56 · Pre-op care only | $2.82 | $2.82 | $8.91 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $21.38 Median $21.38 Typical High $67.61 | Professional | 78 · Unplanned return to OR | $21.38 | $21.38 | $67.61 |
Where Idaho sits
The same service costs 3.9 times more in Hawaii than in Washington, DC. 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
$70.79
HI $91.20DC $23.44
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.