How much rates vary
Facilitymedian $603 · 10th to 90th $186 to $1,096Professionalmedian $195 · 10th to 90th $155 to $275
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 Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $269.15 | Facility | None | $213.80 | $213.80 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $213.80 | Professional | None | $154.88 | $181.97 | $213.80 |
BCBS Idaho Setting Facility Modifier None Typical Low $251.19 Median $562.34 Typical High $1,023.29 | Facility | None | $251.19 | $562.34 | $1,023.29 |
BCBS Idaho Setting Professional Modifier None Typical Low $190.55 Median $234.42 Typical High $288.40 | Professional | None | $190.55 | $234.42 | $288.40 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $186.21 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $134.90 | $186.21 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $194.98 Typical High $229.09 | Professional | None | $162.18 | $194.98 | $229.09 |
Moda Health Setting Facility Modifier None Typical Low $181.97 Median $489.78 Typical High $1,174.90 | Facility | None | $181.97 | $489.78 | $1,174.90 |
Moda Health Setting Professional Modifier None Typical Low $181.97 Median $186.21 Typical High $257.04 | Professional | None | $181.97 | $186.21 | $257.04 |
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 $208.93 Median $234.42 Typical High $234.42 | Facility | None | $208.93 | $234.42 | $234.42 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $194.98 Median $234.42 Typical High $239.88 | Professional | None | $194.98 | $234.42 | $239.88 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 78 · Unplanned return to OR | $144.54 | $144.54 | $144.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $602.56 Median $870.96 Typical High $1,096.48 | Facility | None | $602.56 | $870.96 | $1,096.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $223.87 | Professional | None | $162.18 | $190.55 | $223.87 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $125.89 Typical High $776.25 | Facility | None | $123.03 | $125.89 | $776.25 |
Select Health Setting Professional Modifier None Typical Low $123.03 Median $151.36 Typical High $234.42 | Professional | None | $123.03 | $151.36 | $234.42 |
United Setting Professional Modifier None Typical Low $141.25 Median $186.21 Typical High $251.19 | Professional | None | $141.25 | $186.21 | $251.19 |
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 |
|---|---|---|---|---|---|
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 22 · Increased work | $213.80 | $213.80 | $213.80 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 54 · Surgery only | $134.90 | $134.90 | $134.90 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 56 · Pre-op care only | $19.50 | $19.50 | $19.50 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 63 · Small infant | $213.80 | $213.80 | $213.80 |
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· 19th of 51
$195
AK $339FL $123
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.