How much rates vary
Facilitymedian $27 · 10th to 90th $12 to $59Professionalmedian $15 · 10th to 90th $8 to $37
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 $10.47 Median $18.62 Typical High $26.92 | Professional | None | $10.47 | $18.62 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $9.33 Typical High $13.49 | Professional | 52 · Reduced service | $5.25 | $9.33 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $3.72 Typical High $5.50 | Professional | 53 · Discontinued | $2.09 | $3.72 | $5.50 |
BCBS Idaho Setting Facility Modifier None Typical Low $19.05 Median $48.98 Typical High $229.09 | Facility | None | $19.05 | $48.98 | $229.09 |
BCBS Idaho Setting Professional Modifier None Typical Low $12.02 Median $26.92 Typical High $45.71 | Professional | None | $12.02 | $26.92 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $18.20 Typical High $30.90 | Professional | None | $7.94 | $18.20 | $30.90 |
Moda Health Setting Facility Modifier None Typical Low $10.47 Median $16.22 Typical High $26.92 | Facility | None | $10.47 | $16.22 | $26.92 |
Moda Health Setting Professional Modifier None Typical Low $10.47 Median $19.05 Typical High $36.31 | Professional | None | $10.47 | $19.05 | $36.31 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $9.33 Typical High $13.49 | Professional | 52 · Reduced service | $5.25 | $9.33 | $13.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $3.72 Typical High $5.50 | Professional | 53 · Discontinued | $2.09 | $3.72 | $5.50 |
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 $11.48 Median $12.02 Typical High $37.15 | Facility | None | $11.48 | $12.02 | $37.15 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1.70 Median $12.02 Typical High $37.15 | Professional | None | $1.70 | $12.02 | $37.15 |
Regence BlueShield Setting Professional Modifier None Typical Low $12.02 Median $19.95 Typical High $33.88 | Professional | None | $12.02 | $19.95 | $33.88 |
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 $8.32 Median $15.49 Typical High $20.42 | Professional | None | $8.32 | $15.49 | $20.42 |
United Setting Professional Modifier None Typical Low $9.12 Median $19.05 Typical High $32.36 | Professional | None | $9.12 | $19.05 | $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 $9.12 Median $11.22 Typical High $30.90 | Professional | 78 · Unplanned return to OR | $9.12 | $11.22 | $30.90 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $8.91 Median $8.91 Typical High $23.44 | Professional | 54 · Surgery only | $8.91 | $8.91 | $23.44 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $1.29 Median $1.29 Typical High $3.31 | Professional | 56 · Pre-op care only | $1.29 | $1.29 | $3.31 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $9.55 Median $9.55 Typical High $25.12 | Professional | 78 · Unplanned return to OR | $9.55 | $9.55 | $25.12 |
Where Idaho sits
The same service costs 3.7 times more in Alaska than in Washington, DC. 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· 45th of 51
$15.49
AK $32.36DC $8.71
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.