How much rates vary
Facilitymedian $3,890 · 10th to 90th $407 to $7,413Professionalmedian $603 · 10th to 90th $513 to $794
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 $457.09 Median $549.54 Typical High $562.34 | Professional | None | $457.09 | $549.54 | $562.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $275.42 Typical High $281.84 | Professional | 52 · Reduced service | $239.88 | $275.42 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $109.65 Typical High $112.20 | Professional | 53 · Discontinued | $95.50 | $109.65 | $112.20 |
BCBS Idaho Setting Facility Modifier None Typical Low $3,801.89 Median $5,128.61 Typical High $11,748.98 | Facility | None | $3,801.89 | $5,128.61 | $11,748.98 |
BCBS Idaho Setting Professional Modifier None Typical Low $588.84 Median $645.65 Typical High $912.01 | Professional | None | $588.84 | $645.65 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $707.95 | Professional | None | $537.03 | $645.65 | $707.95 |
Moda Health Setting Facility Modifier None Typical Low $512.86 Median $549.54 Typical High $794.33 | Facility | None | $512.86 | $549.54 | $794.33 |
Moda Health Setting Professional Modifier None Typical Low $512.86 Median $562.34 Typical High $724.44 | Professional | None | $512.86 | $562.34 | $724.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $275.42 Typical High $281.84 | Professional | 52 · Reduced service | $257.04 | $275.42 | $281.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $109.65 Typical High $112.20 | Professional | 53 · Discontinued | $102.33 | $109.65 | $112.20 |
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 $562.34 Median $562.34 Typical High $691.83 | Facility | None | $562.34 | $562.34 | $691.83 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $630.96 Median $645.65 Typical High $794.33 | Professional | None | $630.96 | $645.65 | $794.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $724.44 | Professional | None | $512.86 | $602.56 | $724.44 |
Select Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $416.87 | Facility | None | $407.38 | $407.38 | $416.87 |
Select Health Setting Professional Modifier None Typical Low $407.38 Median $524.81 Typical High $616.60 | Professional | None | $407.38 | $524.81 | $616.60 |
United Setting Professional Modifier None Typical Low $436.52 Median $588.84 Typical High $794.33 | Professional | None | $436.52 | $588.84 | $794.33 |
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 $446.68 Median $501.19 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $446.68 | $501.19 | $630.96 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $446.68 | $446.68 | $446.68 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $64.57 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $64.57 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $478.63 |
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
$603
AK $1,023FL $363
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.