How much rates vary
Facilitymedian $490 · 10th to 90th $132 to $933Professionalmedian $200 · 10th to 90th $162 to $257
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $141.25 Median $181.97 Typical High $186.21 | Professional | None | $141.25 | $181.97 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $91.20 Typical High $93.33 | Professional | 52 · Reduced service | $77.62 | $91.20 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $36.31 Typical High $37.15 | Professional | 53 · Discontinued | $31.62 | $36.31 | $37.15 |
BCBS Idaho Setting Facility Modifier None Typical Low $467.74 Median $630.96 Typical High $1,479.11 | Facility | None | $467.74 | $630.96 | $1,479.11 |
BCBS Idaho Setting Professional Modifier None Typical Low $199.53 Median $213.80 Typical High $295.12 | Professional | None | $199.53 | $213.80 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $229.09 | Professional | None | $177.83 | $213.80 | $229.09 |
Moda Health Setting Facility Modifier None Typical Low $169.82 Median $181.97 Typical High $263.03 | Facility | None | $169.82 | $181.97 | $263.03 |
Moda Health Setting Professional Modifier None Typical Low $158.49 Median $186.21 Typical High $245.47 | Professional | None | $158.49 | $186.21 | $245.47 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $91.20 Typical High $93.33 | Professional | 52 · Reduced service | $85.11 | $91.20 | $93.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $36.31 Typical High $37.15 | Professional | 53 · Discontinued | $33.88 | $36.31 | $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 $181.97 Median $181.97 Typical High $223.87 | Facility | None | $181.97 | $181.97 | $223.87 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $257.04 | Professional | None | $208.93 | $208.93 | $257.04 |
Regence BlueShield Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $245.47 | Professional | None | $169.82 | $199.53 | $245.47 |
Select Health Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $134.90 | Facility | None | $131.83 | $131.83 | $134.90 |
Select Health Setting Professional Modifier None Typical Low $131.83 Median $173.78 Typical High $208.93 | Professional | None | $131.83 | $173.78 | $208.93 |
United Setting Professional Modifier None Typical Low $144.54 Median $194.98 Typical High $257.04 | Professional | None | $144.54 | $194.98 | $257.04 |
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 $147.91 Median $169.82 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $147.91 | $169.82 | $199.53 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 54 · Surgery only | $147.91 | $147.91 | $147.91 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $21.38 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $21.38 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 78 · Unplanned return to OR | $158.49 | $158.49 | $158.49 |
Where Idaho sits
The same service costs 2.8 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· 11th of 51
$200
AK $324FL $117
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.