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 $24.55 Median $26.92 Typical High $26.92 | Professional | None | $24.55 | $26.92 | $26.92 |
BCBS Idaho Setting Facility Modifier None Typical Low $190.55 Median $758.58 Typical High $1,412.54 | Facility | None | $190.55 | $758.58 | $1,412.54 |
BCBS Idaho Setting Professional Modifier None Typical Low $27.54 Median $29.51 Typical High $36.31 | Professional | None | $27.54 | $29.51 | $36.31 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $20.42 Median $23.99 Typical High $26.30 | Professional | 78 · Unplanned return to OR | $20.42 | $23.99 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $26.30 Typical High $31.62 | Professional | None | $18.62 | $26.30 | $31.62 |
Moda Health Setting Facility Modifier None Typical Low $24.55 Median $26.92 Typical High $38.02 | Facility | None | $24.55 | $26.92 | $38.02 |
Moda Health Setting Professional Modifier None Typical Low $21.88 Median $26.92 Typical High $32.36 | Professional | None | $21.88 | $26.92 | $32.36 |
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 $24.55 Median $28.84 Typical High $28.84 | Facility | None | $24.55 | $28.84 | $28.84 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3.98 Median $28.84 Typical High $29.51 | Professional | None | $3.98 | $28.84 | $29.51 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 78 · Unplanned return to OR | $21.88 | $21.88 | $21.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $954.99 Median $1,348.96 Typical High $1,737.80 | Facility | None | $954.99 | $1,348.96 | $1,737.80 |
Regence BlueShield Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $32.36 | Professional | None | $27.54 | $27.54 | $32.36 |
Select Health Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $16.60 | Facility | None | $15.85 | $15.85 | $16.60 |
Select Health Setting Professional Modifier None Typical Low $15.85 Median $18.62 Typical High $35.48 | Professional | None | $15.85 | $18.62 | $35.48 |
United Setting Professional Modifier None Typical Low $19.95 Median $33.88 Typical High $53.70 | Professional | None | $19.95 | $33.88 | $53.70 |
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 $32.36 Median $32.36 Typical High $32.36 | Professional | 22 · Increased work | $32.36 | $32.36 | $32.36 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 54 · Surgery only | $20.42 | $20.42 | $20.42 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | 56 · Pre-op care only | $2.95 | $2.95 | $2.95 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 63 · Small infant | $32.36 | $32.36 | $32.36 |
Where Idaho sits
The same service costs 2.7 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· 25th 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.