How much rates vary
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 $91.20 Median $112.20 Typical High $125.89 | Professional | None | $91.20 | $112.20 | $125.89 |
BCBS Idaho Setting Facility Modifier None Typical Low $138.04 Median $316.23 Typical High $436.52 | Facility | None | $138.04 | $316.23 | $436.52 |
BCBS Idaho Setting Professional Modifier None Typical Low $112.20 Median $125.89 Typical High $158.49 | Professional | None | $112.20 | $125.89 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $120.23 | Professional | None | $64.57 | $74.13 | $120.23 |
Moda Health Setting Facility Modifier None Typical Low $104.71 Median $120.23 Typical High $158.49 | Facility | None | $104.71 | $120.23 | $158.49 |
Moda Health Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $151.36 | Professional | None | $93.33 | $125.89 | $151.36 |
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 $117.49 Median $117.49 Typical High $162.18 | Facility | None | $117.49 | $117.49 | $162.18 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $21.38 Median $117.49 Typical High $162.18 | Professional | None | $21.38 | $117.49 | $162.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $512.86 | Facility | None | $269.15 | $389.05 | $512.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $117.49 Median $131.83 Typical High $151.36 | Professional | None | $117.49 | $131.83 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $87.10 Typical High $346.74 | Facility | None | $85.11 | $87.10 | $346.74 |
Select Health Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $125.89 | Professional | None | $74.13 | $85.11 | $125.89 |
United Setting Professional Modifier None Typical Low $69.18 Median $95.50 Typical High $134.90 | Professional | None | $69.18 | $95.50 | $134.90 |
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 $79.43 Median $83.18 Typical High $87.10 | Professional | 78 · Unplanned return to OR | $79.43 | $83.18 | $87.10 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $70.79 Typical High $79.43 | Professional | 54 · Surgery only | $70.79 | $70.79 | $79.43 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.00 Typical High $11.22 | Professional | 56 · Pre-op care only | $10.00 | $10.00 | $11.22 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $75.86 Median $75.86 Typical High $85.11 | Professional | 78 · Unplanned return to OR | $75.86 | $75.86 | $85.11 |
Where Idaho sits
The same service costs 3.0 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· 9th of 51
$117
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.