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 $14.13 Median $16.22 Typical High $18.20 | Professional | None | $14.13 | $16.22 | $18.20 |
BCBS Idaho Setting Facility Modifier None Typical Low $19.05 Median $20.89 Typical High $30.90 | Facility | None | $19.05 | $20.89 | $30.90 |
BCBS Idaho Setting Professional Modifier None Typical Low $15.14 Median $20.89 Typical High $30.20 | Professional | None | $15.14 | $20.89 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $19.50 Typical High $21.88 | Professional | None | $15.49 | $19.50 | $21.88 |
Moda Health Setting Facility Modifier None Typical Low $13.18 Median $16.22 Typical High $25.70 | Facility | None | $13.18 | $16.22 | $25.70 |
Moda Health Setting Professional Modifier None Typical Low $15.85 Median $18.20 Typical High $23.99 | Professional | None | $15.85 | $18.20 | $23.99 |
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 $19.05 Median $19.05 Typical High $24.55 | Facility | None | $19.05 | $19.05 | $24.55 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $15.14 Median $19.05 Typical High $25.12 | Professional | None | $15.14 | $19.05 | $25.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $19.50 Median $21.38 Typical High $30.90 | Facility | None | $19.50 | $21.38 | $30.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $15.14 Median $19.50 Typical High $23.99 | Professional | None | $15.14 | $19.50 | $23.99 |
Select Health Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.49 | Facility | None | $13.18 | $13.18 | $13.49 |
Select Health Setting Professional Modifier None Typical Low $12.02 Median $13.49 Typical High $21.88 | Professional | None | $12.02 | $13.49 | $21.88 |
United Setting Professional Modifier None Typical Low $12.30 Median $16.22 Typical High $22.39 | Professional | None | $12.30 | $16.22 | $22.39 |
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 $9.33 Median $15.85 Typical High $21.38 | Professional | 78 · Unplanned return to OR | $9.33 | $15.85 | $21.38 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $9.33 Median $9.33 Typical High $10.47 | Professional | 54 · Surgery only | $9.33 | $9.33 | $10.47 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $1.32 Typical High $1.51 | Professional | 56 · Pre-op care only | $1.32 | $1.32 | $1.51 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $10.00 Median $10.00 Typical High $11.22 | Professional | 78 · Unplanned return to OR | $10.00 | $10.00 | $11.22 |
Where Idaho sits
The same service costs 3.2 times more in Alaska than in New York. 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· 10th of 51
$18.20
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.