How much rates vary
Facilitymedian $776 · 10th to 90th $132 to $1,622Professionalmedian $129 · 10th to 90th $110 to $158
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 $112.20 Median $120.23 Typical High $120.23 | Professional | None | $112.20 | $120.23 | $120.23 |
BCBS Idaho Setting Facility Modifier None Typical Low $239.88 Median $831.76 Typical High $1,380.38 | Facility | None | $239.88 | $831.76 | $1,380.38 |
BCBS Idaho Setting Professional Modifier None Typical Low $123.03 Median $131.83 Typical High $158.49 | Professional | None | $123.03 | $131.83 | $158.49 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $91.20 Median $95.50 Typical High $112.20 | Professional | 78 · Unplanned return to OR | $91.20 | $95.50 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $154.88 | Professional | None | $120.23 | $134.90 | $154.88 |
Moda Health Setting Facility Modifier None Typical Low $107.15 Median $120.23 Typical High $169.82 | Facility | None | $107.15 | $120.23 | $169.82 |
Moda Health Setting Professional Modifier None Typical Low $112.20 Median $120.23 Typical High $154.88 | Professional | None | $112.20 | $120.23 | $154.88 |
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 $117.49 Median $131.83 Typical High $131.83 | Facility | None | $117.49 | $131.83 | $131.83 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $134.90 | Professional | None | $131.83 | $131.83 | $134.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $954.99 Median $1,348.96 Typical High $1,737.80 | Facility | None | $954.99 | $1,348.96 | $1,737.80 |
Regence BlueShield Setting Professional Modifier None Typical Low $107.15 Median $123.03 Typical High $154.88 | Professional | None | $107.15 | $123.03 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $812.83 | Facility | None | $69.18 | $69.18 | $812.83 |
Select Health Setting Professional Modifier None Typical Low $69.18 Median $95.50 Typical High $131.83 | Professional | None | $69.18 | $95.50 | $131.83 |
United Setting Professional Modifier None Typical Low $100.00 Median $138.04 Typical High $177.83 | Professional | None | $100.00 | $138.04 | $177.83 |
8 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $53.70 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $21.38 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $15.85 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $12.02 Typical High $12.02 | Professional | 56 · Pre-op care only | $10.72 | $12.02 | $12.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $56.23 | $60.26 | $60.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $22.39 | $23.99 | $23.99 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $16.98 | $17.78 | $17.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $12.02 Typical High $12.02 | Professional | 56 · Pre-op care only | $11.22 | $12.02 | $12.02 |
Where Idaho sits
The same service costs 2.9 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
$132
AK $219FL $75.86
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.