How much rates vary
Facilitymedian $224 · 10th to 90th $135 to $331Professionalmedian $224 · 10th to 90th $141 to $295
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $141.25 Median $177.83 Typical High $229.09 | Professional | None | $141.25 | $177.83 | $229.09 |
BCBS Idaho Setting Facility Modifier None Typical Low $204.17 Median $218.78 Typical High $331.13 | Facility | None | $204.17 | $218.78 | $331.13 |
BCBS Idaho Setting Professional Modifier None Typical Low $229.09 Median $263.03 Typical High $281.84 | Professional | None | $229.09 | $263.03 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $251.19 Typical High $295.12 | Professional | None | $208.93 | $251.19 | $295.12 |
Moda Health Setting Facility Modifier None Typical Low $165.96 Median $229.09 Typical High $331.13 | Facility | None | $165.96 | $229.09 | $331.13 |
Moda Health Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $562.34 | Professional | None | $147.91 | $199.53 | $562.34 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $223.87 Median $245.47 Typical High $245.47 | Facility | None | $223.87 | $245.47 | $245.47 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $263.03 | Professional | None | $245.47 | $245.47 | $263.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $204.17 Median $218.78 Typical High $331.13 | Facility | None | $204.17 | $218.78 | $331.13 |
Select Health Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $134.90 | Facility | None | $131.83 | $131.83 | $134.90 |
Select Health Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $223.87 | Professional | None | $131.83 | $131.83 | $223.87 |
United Setting Professional Modifier None Typical Low $154.88 Median $213.80 Typical High $309.03 | Professional | None | $154.88 | $213.80 | $309.03 |
8 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | TD · Registered nurse | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $77.62 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $34.67 Typical High $34.67 | Professional | 55 · Aftercare only | $23.99 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $22.91 Typical High $22.91 | Professional | 56 · Pre-op care only | $15.85 | $22.91 | $22.91 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $181.97 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $162.18 | $181.97 | $194.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $81.28 | $114.82 | $114.82 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $34.67 Typical High $34.67 | Professional | 55 · Aftercare only | $23.99 | $34.67 | $34.67 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $22.91 Typical High $22.91 | Professional | 56 · Pre-op care only | $16.22 | $22.91 | $22.91 |
Where Idaho sits
The same service costs 2.4 times more in Alaska than in Alabama. 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· 6th of 51
$224
AK $288AL $120
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.