How much rates vary
Facilitymedian $977 · 10th to 90th $155 to $1,862Professionalmedian $240 · 10th to 90th $195 to $302
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 $165.96 Median $213.80 Typical High $218.78 | Professional | None | $165.96 | $213.80 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $93.33 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $42.66 Typical High $43.65 | Professional | 53 · Discontinued | $37.15 | $42.66 | $43.65 |
BCBS Idaho Setting Facility Modifier None Typical Low $933.25 Median $1,288.25 Typical High $2,951.21 | Facility | None | $933.25 | $1,288.25 | $2,951.21 |
BCBS Idaho Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $354.81 | Professional | None | $234.42 | $257.04 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $251.19 Typical High $269.15 | Professional | None | $208.93 | $251.19 | $269.15 |
Moda Health Setting Facility Modifier None Typical Low $199.53 Median $213.80 Typical High $309.03 | Facility | None | $199.53 | $213.80 | $309.03 |
Moda Health Setting Professional Modifier None Typical Low $194.98 Median $218.78 Typical High $288.40 | Professional | None | $194.98 | $218.78 | $288.40 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $100.00 | $107.15 | $107.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $42.66 Typical High $43.65 | Professional | 53 · Discontinued | $39.81 | $42.66 | $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 $218.78 Median $218.78 Typical High $269.15 | Facility | None | $218.78 | $218.78 | $269.15 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $302.00 | Professional | None | $251.19 | $251.19 | $302.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $288.40 | Professional | None | $204.17 | $239.88 | $288.40 |
Select Health Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $162.18 | Facility | None | $154.88 | $154.88 | $162.18 |
Select Health Setting Professional Modifier None Typical Low $154.88 Median $208.93 Typical High $245.47 | Professional | None | $154.88 | $208.93 | $245.47 |
United Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $302.00 | Professional | None | $169.82 | $223.87 | $302.00 |
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 $173.78 Median $194.98 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $173.78 | $194.98 | $234.42 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 54 · Surgery only | $177.83 | $177.83 | $177.83 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $25.70 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $25.70 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 78 · Unplanned return to OR | $190.55 | $190.55 | $190.55 |
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
$240
AK $398FL $141
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.