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 $20.89 Median $26.30 Typical High $30.20 | Professional | None | $20.89 | $26.30 | $30.20 |
BCBS Idaho Setting Facility Modifier None Typical Low $31.62 Median $50.12 Typical High $125.89 | Facility | None | $31.62 | $50.12 | $125.89 |
BCBS Idaho Setting Professional Modifier None Typical Low $26.30 Median $29.51 Typical High $38.02 | Professional | None | $26.30 | $29.51 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $17.38 Typical High $28.84 | Professional | None | $15.14 | $17.38 | $28.84 |
Moda Health Setting Facility Modifier None Typical Low $24.55 Median $29.51 Typical High $37.15 | Facility | None | $24.55 | $29.51 | $37.15 |
Moda Health Setting Professional Modifier None Typical Low $21.88 Median $30.20 Typical High $37.15 | Professional | None | $21.88 | $30.20 | $37.15 |
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 $27.54 Median $27.54 Typical High $38.02 | Facility | None | $27.54 | $27.54 | $38.02 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $5.13 Median $27.54 Typical High $38.02 | Professional | None | $5.13 | $27.54 | $38.02 |
Regence BlueShield Setting Professional Modifier None Typical Low $27.54 Median $31.62 Typical High $37.15 | Professional | None | $27.54 | $31.62 | $37.15 |
Select Health Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.89 | Facility | None | $20.42 | $20.42 | $20.89 |
Select Health Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $29.51 | Professional | None | $17.38 | $20.42 | $29.51 |
United Setting Professional Modifier None Typical Low $16.22 Median $22.91 Typical High $32.36 | Professional | None | $16.22 | $22.91 | $32.36 |
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 $19.50 Median $19.50 Typical High $25.70 | Professional | 78 · Unplanned return to OR | $19.50 | $19.50 | $25.70 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $16.60 Median $16.60 Typical High $19.50 | Professional | 54 · Surgery only | $16.60 | $16.60 | $19.50 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.34 Typical High $2.75 | Professional | 56 · Pre-op care only | $2.34 | $2.34 | $2.75 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $17.78 Median $17.78 Typical High $20.89 | Professional | 78 · Unplanned return to OR | $17.78 | $17.78 | $20.89 |
Where Idaho sits
The same service costs 3.1 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
$27.54
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.