How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $46.77 Median $50.12 Typical High $77.62 | Professional | None | $46.77 | $50.12 | $77.62 |
BCBS Idaho Setting Facility Modifier None Typical Low $61.66 Median $100.00 Typical High $208.93 | Facility | None | $61.66 | $100.00 | $208.93 |
BCBS Idaho Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $134.90 | Professional | None | $53.70 | $75.86 | $134.90 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $40.74 Median $63.10 Typical High $93.33 | Professional | 78 · Unplanned return to OR | $40.74 | $63.10 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $63.10 Typical High $89.13 | Professional | None | $51.29 | $63.10 | $89.13 |
Moda Health Setting Facility Modifier None Typical Low $46.77 Median $69.18 Typical High $77.62 | Facility | None | $46.77 | $69.18 | $77.62 |
Moda Health Setting Professional Modifier None Typical Low $48.98 Median $63.10 Typical High $107.15 | Professional | None | $48.98 | $63.10 | $107.15 |
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 $57.54 Median $57.54 Typical High $112.20 | Facility | None | $57.54 | $57.54 | $112.20 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $57.54 Median $58.88 Typical High $114.82 | Professional | None | $57.54 | $58.88 | $114.82 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $41.69 Median $41.69 Typical High $67.61 | Professional | 78 · Unplanned return to OR | $41.69 | $41.69 | $67.61 |
Regence BlueShield Setting Facility Modifier None Typical Low $70.79 Median $97.72 Typical High $123.03 | Facility | None | $70.79 | $97.72 | $123.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $53.70 Median $69.18 Typical High $102.33 | Professional | None | $53.70 | $69.18 | $102.33 |
Select Health Setting Facility Modifier None Typical Low $58.88 Median $60.26 Typical High $436.52 | Facility | None | $58.88 | $60.26 | $436.52 |
Select Health Setting Professional Modifier None Typical Low $38.90 Median $56.23 Typical High $75.86 | Professional | None | $38.90 | $56.23 | $75.86 |
United Setting Professional Modifier None Typical Low $39.81 Median $61.66 Typical High $93.33 | Professional | None | $39.81 | $61.66 | $93.33 |
2 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 |
|---|---|---|---|---|---|
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $38.90 Typical High $63.10 | Professional | 54 · Surgery only | $38.90 | $38.90 | $63.10 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $9.12 | Professional | 56 · Pre-op care only | $5.50 | $5.50 | $9.12 |
Where Idaho sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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
$69.18
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.