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 $40.74 Median $46.77 Typical High $48.98 | Professional | None | $40.74 | $46.77 | $48.98 |
BCBS Idaho Setting Facility Modifier None Typical Low $48.98 Median $52.48 Typical High $79.43 | Facility | None | $48.98 | $52.48 | $79.43 |
BCBS Idaho Setting Professional Modifier None Typical Low $38.90 Median $60.26 Typical High $75.86 | Professional | None | $38.90 | $60.26 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $63.10 | Professional | None | $44.67 | $54.95 | $63.10 |
Moda Health Setting Facility Modifier None Typical Low $33.88 Median $46.77 Typical High $87.10 | Facility | None | $33.88 | $46.77 | $87.10 |
Moda Health Setting Professional Modifier None Typical Low $44.67 Median $46.77 Typical High $60.26 | Professional | None | $44.67 | $46.77 | $60.26 |
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 $53.70 Median $53.70 Typical High $63.10 | Facility | None | $53.70 | $53.70 | $63.10 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $38.90 Median $54.95 Typical High $64.57 | Professional | None | $38.90 | $54.95 | $64.57 |
Regence BlueShield Setting Facility Modifier None Typical Low $48.98 Median $60.26 Typical High $79.43 | Facility | None | $48.98 | $60.26 | $79.43 |
Regence BlueShield Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $61.66 | Professional | None | $41.69 | $48.98 | $61.66 |
Select Health Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $34.67 | Facility | None | $33.88 | $33.88 | $34.67 |
Select Health Setting Professional Modifier None Typical Low $32.36 Median $36.31 Typical High $60.26 | Professional | None | $32.36 | $36.31 | $60.26 |
United Setting Professional Modifier None Typical Low $31.62 Median $46.77 Typical High $64.57 | Professional | None | $31.62 | $46.77 | $64.57 |
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 $27.54 Median $45.71 Typical High $53.70 | Professional | 78 · Unplanned return to OR | $27.54 | $45.71 | $53.70 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $25.70 Median $25.70 Typical High $27.54 | Professional | 54 · Surgery only | $25.70 | $25.70 | $27.54 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.63 Typical High $3.89 | Professional | 56 · Pre-op care only | $3.63 | $3.63 | $3.89 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $27.54 Median $27.54 Typical High $28.84 | Professional | 78 · Unplanned return to OR | $27.54 | $27.54 | $28.84 |
Where Idaho sits
The same service costs 3.7 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
$48.98
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.