How much rates vary
Facilitymedian $49 · 10th to 90th $35 to $138Professionalmedian $35 · 10th to 90th $24 to $47
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 $25.12 Median $34.67 Typical High $34.67 | Professional | None | $25.12 | $34.67 | $34.67 |
BCBS Idaho Setting Facility Modifier None Typical Low $36.31 Median $57.54 Typical High $144.54 | Facility | None | $36.31 | $57.54 | $144.54 |
BCBS Idaho Setting Professional Modifier None Typical Low $35.48 Median $38.90 Typical High $53.70 | Professional | None | $35.48 | $38.90 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $33.88 Typical High $40.74 | Professional | None | $23.99 | $33.88 | $40.74 |
Moda Health Setting Facility Modifier None Typical Low $31.62 Median $34.67 Typical High $48.98 | Facility | None | $31.62 | $34.67 | $48.98 |
Moda Health Setting Professional Modifier None Typical Low $27.54 Median $34.67 Typical High $43.65 | Professional | None | $27.54 | $34.67 | $43.65 |
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 $36.31 Median $42.66 Typical High $42.66 | Facility | None | $36.31 | $42.66 | $42.66 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $5.89 Median $42.66 Typical High $43.65 | Professional | None | $5.89 | $42.66 | $43.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $36.31 Median $38.90 Typical High $57.54 | Facility | None | $36.31 | $38.90 | $57.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $41.69 | Professional | None | $35.48 | $35.48 | $41.69 |
Select Health Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $114.82 | Facility | None | $23.99 | $23.99 | $114.82 |
Select Health Setting Professional Modifier None Typical Low $23.99 Median $24.55 Typical High $46.77 | Professional | None | $23.99 | $24.55 | $46.77 |
United Setting Professional Modifier None Typical Low $25.12 Median $33.88 Typical High $45.71 | Professional | None | $25.12 | $33.88 | $45.71 |
10 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $15.85 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $6.31 | $6.92 | $6.92 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $27.54 Median $36.31 Typical High $38.90 | Professional | 78 · Unplanned return to OR | $27.54 | $36.31 | $38.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $15.85 | $17.38 | $17.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $6.31 | $6.92 | $6.92 |
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 22 · Increased work | $42.66 | $42.66 | $42.66 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 54 · Surgery only | $27.54 | $27.54 | $27.54 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 56 · Pre-op care only | $3.89 | $3.89 | $3.89 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 63 · Small infant | $42.66 | $42.66 | $42.66 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 78 · Unplanned return to OR | $28.84 | $28.84 | $28.84 |
Where Idaho sits
The same service costs 2.6 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· 12th of 51
$35.48
AK $56.23FL $21.38
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.