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 $26.92 Median $31.62 Typical High $33.88 | Professional | None | $26.92 | $31.62 | $33.88 |
BCBS Idaho Setting Facility Modifier None Typical Low $36.31 Median $38.02 Typical High $57.54 | Facility | None | $36.31 | $38.02 | $57.54 |
BCBS Idaho Setting Professional Modifier None Typical Low $28.18 Median $39.81 Typical High $54.95 | Professional | None | $28.18 | $39.81 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $38.02 Typical High $42.66 | Professional | None | $30.20 | $38.02 | $42.66 |
Moda Health Setting Facility Modifier None Typical Low $23.99 Median $31.62 Typical High $43.65 | Facility | None | $23.99 | $31.62 | $43.65 |
Moda Health Setting Professional Modifier None Typical Low $30.90 Median $33.11 Typical High $43.65 | Professional | None | $30.90 | $33.11 | $43.65 |
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 $36.31 Median $36.31 Typical High $45.71 | Facility | None | $36.31 | $36.31 | $45.71 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $28.18 Median $37.15 Typical High $45.71 | Professional | None | $28.18 | $37.15 | $45.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $36.31 Median $40.74 Typical High $57.54 | Facility | None | $36.31 | $40.74 | $57.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $43.65 | Professional | None | $29.51 | $35.48 | $43.65 |
Select Health Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $24.55 | Facility | None | $23.99 | $23.99 | $24.55 |
Select Health Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $42.66 | Professional | None | $22.39 | $26.30 | $42.66 |
United Setting Professional Modifier None Typical Low $22.91 Median $31.62 Typical High $43.65 | Professional | None | $22.91 | $31.62 | $43.65 |
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 $19.50 Median $30.90 Typical High $38.02 | Professional | 78 · Unplanned return to OR | $19.50 | $30.90 | $38.02 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $18.20 Median $18.20 Typical High $19.50 | Professional | 54 · Surgery only | $18.20 | $18.20 | $19.50 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $2.57 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.57 | $2.57 | $2.82 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $19.50 Median $19.50 Typical High $20.89 | Professional | 78 · Unplanned return to OR | $19.50 | $19.50 | $20.89 |
Where Idaho sits
The same service costs 3.5 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· 12th of 51
$34.67
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.