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 Facility Modifier None Typical Low $16.98 Median $67.61 Typical High $91.20 | Facility | None | $16.98 | $67.61 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $34.67 Typical High $67.61 | Professional | None | $15.49 | $34.67 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $13.49 | Professional | 53 · Discontinued | $3.39 | $3.39 | $13.49 |
BCBS Idaho Setting Facility Modifier None Typical Low $30.90 Median $234.42 Typical High $416.87 | Facility | None | $30.90 | $234.42 | $416.87 |
BCBS Idaho Setting Professional Modifier None Typical Low $16.60 Median $64.57 Typical High $107.15 | Professional | None | $16.60 | $64.57 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $41.69 Typical High $79.43 | Professional | None | $16.60 | $41.69 | $79.43 |
Moda Health Setting Facility Modifier None Typical Low $17.78 Median $346.74 Typical High $1,288.25 | Facility | None | $17.78 | $346.74 | $1,288.25 |
Moda Health Setting Professional Modifier None Typical Low $15.49 Median $22.91 Typical High $87.10 | Professional | None | $15.49 | $22.91 | $87.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $13.49 | Professional | 53 · Discontinued | $3.39 | $3.39 | $13.49 |
Molina Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $33.11 | Professional | None | $28.18 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $89.13 | Facility | None | $19.50 | $19.50 | $89.13 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $18.20 Median $20.42 Typical High $91.20 | Professional | None | $18.20 | $20.42 | $91.20 |
Regence BlueShield Setting Professional Modifier None Typical Low $15.14 Median $26.92 Typical High $87.10 | Professional | None | $15.14 | $26.92 | $87.10 |
Select Health Setting Facility Modifier None Typical Low $47.86 Median $48.98 Typical High $275.42 | Facility | None | $47.86 | $48.98 | $275.42 |
Select Health Setting Professional Modifier None Typical Low $12.02 Median $47.86 Typical High $63.10 | Professional | None | $12.02 | $47.86 | $63.10 |
United Setting Professional Modifier None Typical Low $13.18 Median $38.90 Typical High $93.33 | Professional | None | $13.18 | $38.90 | $93.33 |
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 $12.88 Median $16.60 Typical High $75.86 | Professional | 78 · Unplanned return to OR | $12.88 | $16.60 | $75.86 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $12.88 Median $12.88 Typical High $52.48 | Professional | 54 · Surgery only | $12.88 | $12.88 | $52.48 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $1.82 Typical High $7.41 | Professional | 56 · Pre-op care only | $1.82 | $1.82 | $7.41 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $13.80 Median $13.80 Typical High $56.23 | Professional | 78 · Unplanned return to OR | $13.80 | $13.80 | $56.23 |
Where Idaho sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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· 20th of 51
$45.71
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.