How much rates vary
Facilitymedian $1,950 · 10th to 90th $204 to $3,715Professionalmedian $309 · 10th to 90th $257 to $398
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 $223.87 Median $281.84 Typical High $288.40 | Professional | None | $223.87 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $141.25 Typical High $144.54 | Professional | 52 · Reduced service | $123.03 | $141.25 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $56.23 Typical High $57.54 | Professional | 53 · Discontinued | $48.98 | $56.23 | $57.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,862.09 Median $2,570.40 Typical High $5,888.44 | Facility | None | $1,862.09 | $2,570.40 | $5,888.44 |
BCBS Idaho Setting Professional Modifier None Typical Low $302.00 Median $331.13 Typical High $467.74 | Professional | None | $302.00 | $331.13 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $354.81 | Professional | None | $275.42 | $323.59 | $354.81 |
Moda Health Setting Facility Modifier None Typical Low $263.03 Median $281.84 Typical High $398.11 | Facility | None | $263.03 | $281.84 | $398.11 |
Moda Health Setting Professional Modifier None Typical Low $257.04 Median $288.40 Typical High $371.54 | Professional | None | $257.04 | $288.40 | $371.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $141.25 Typical High $144.54 | Professional | 52 · Reduced service | $131.83 | $141.25 | $144.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $56.23 Typical High $57.54 | Professional | 53 · Discontinued | $52.48 | $56.23 | $57.54 |
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 $288.40 Median $288.40 Typical High $354.81 | Facility | None | $288.40 | $288.40 | $354.81 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $323.59 Median $331.13 Typical High $398.11 | Professional | None | $323.59 | $331.13 | $398.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $263.03 Median $309.03 Typical High $371.54 | Professional | None | $263.03 | $309.03 | $371.54 |
Select Health Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $213.80 | Facility | None | $204.17 | $204.17 | $213.80 |
Select Health Setting Professional Modifier None Typical Low $204.17 Median $269.15 Typical High $316.23 | Professional | None | $204.17 | $269.15 | $316.23 |
United Setting Professional Modifier None Typical Low $223.87 Median $302.00 Typical High $398.11 | Professional | None | $223.87 | $302.00 | $398.11 |
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 $229.09 Median $281.84 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $229.09 | $281.84 | $331.13 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $223.87 Typical High $229.09 | Professional | 54 · Surgery only | $223.87 | $223.87 | $229.09 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $32.36 Typical High $33.11 | Professional | 56 · Pre-op care only | $32.36 | $32.36 | $33.11 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $239.88 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $239.88 | $239.88 | $245.47 |
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
$309
AK $513FL $182
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.