How much rates vary
Facilitymedian $2,884 · 10th to 90th $251 to $5,623Professionalmedian $372 · 10th to 90th $316 to $490
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 $275.42 Median $346.74 Typical High $354.81 | Professional | None | $275.42 | $346.74 | $354.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $173.78 Typical High $177.83 | Professional | 52 · Reduced service | $151.36 | $173.78 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $69.18 Typical High $70.79 | Professional | 53 · Discontinued | $60.26 | $69.18 | $70.79 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,818.38 Median $3,801.89 Typical High $8,709.64 | Facility | None | $2,818.38 | $3,801.89 | $8,709.64 |
BCBS Idaho Setting Professional Modifier None Typical Low $371.54 Median $398.11 Typical High $575.44 | Professional | None | $371.54 | $398.11 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $446.68 | Professional | None | $338.84 | $398.11 | $446.68 |
Moda Health Setting Facility Modifier None Typical Low $323.59 Median $346.74 Typical High $489.78 | Facility | None | $323.59 | $346.74 | $489.78 |
Moda Health Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $457.09 | Professional | None | $323.59 | $354.81 | $457.09 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $173.78 Typical High $177.83 | Professional | 52 · Reduced service | $162.18 | $173.78 | $177.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $69.18 Typical High $70.79 | Professional | 53 · Discontinued | $64.57 | $69.18 | $70.79 |
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 $346.74 Median $346.74 Typical High $426.58 | Facility | None | $346.74 | $346.74 | $426.58 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $389.05 Median $398.11 Typical High $489.78 | Professional | None | $389.05 | $398.11 | $489.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $323.59 Median $371.54 Typical High $457.09 | Professional | None | $323.59 | $371.54 | $457.09 |
Select Health Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $257.04 | Facility | None | $251.19 | $251.19 | $257.04 |
Select Health Setting Professional Modifier None Typical Low $251.19 Median $331.13 Typical High $389.05 | Professional | None | $251.19 | $331.13 | $389.05 |
United Setting Professional Modifier None Typical Low $275.42 Median $371.54 Typical High $501.19 | Professional | None | $275.42 | $371.54 | $501.19 |
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 $275.42 Median $323.59 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $275.42 | $323.59 | $389.05 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $275.42 Typical High $281.84 | Professional | 54 · Surgery only | $275.42 | $275.42 | $281.84 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $39.81 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $39.81 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $295.12 | $295.12 | $302.00 |
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
$372
AK $631FL $229
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.