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 $24.55 Typical High $28.84 | Professional | None | $20.89 | $24.55 | $28.84 |
BCBS Idaho Setting Facility Modifier None Typical Low $34.67 Median $54.95 Typical High $128.82 | Facility | None | $34.67 | $54.95 | $128.82 |
BCBS Idaho Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $36.31 | Professional | None | $24.55 | $27.54 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $17.38 Typical High $27.54 | Professional | None | $13.80 | $17.38 | $27.54 |
Moda Health Setting Facility Modifier None Typical Low $22.91 Median $28.18 Typical High $35.48 | Facility | None | $22.91 | $28.18 | $35.48 |
Moda Health Setting Professional Modifier None Typical Low $21.38 Median $28.84 Typical High $34.67 | Professional | None | $21.38 | $28.84 | $34.67 |
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 $26.30 Median $26.30 Typical High $36.31 | Facility | None | $26.30 | $26.30 | $36.31 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $4.79 Median $26.30 Typical High $36.31 | Professional | None | $4.79 | $26.30 | $36.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $34.67 | Professional | None | $25.70 | $30.20 | $34.67 |
Select Health Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Select Health Setting Professional Modifier None Typical Low $16.22 Median $19.50 Typical High $27.54 | Professional | None | $16.22 | $19.50 | $27.54 |
United Setting Professional Modifier None Typical Low $15.85 Median $22.91 Typical High $30.20 | Professional | None | $15.85 | $22.91 | $30.20 |
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 $18.20 Median $18.20 Typical High $23.99 | Professional | 78 · Unplanned return to OR | $18.20 | $18.20 | $23.99 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $15.49 Median $15.49 Typical High $18.20 | Professional | 54 · Surgery only | $15.49 | $15.49 | $18.20 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.24 Typical High $2.57 | Professional | 56 · Pre-op care only | $2.24 | $2.24 | $2.57 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $16.60 Median $16.60 Typical High $19.50 | Professional | 78 · Unplanned return to OR | $16.60 | $16.60 | $19.50 |
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· 10th of 51
$25.70
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.