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 $12.88 Median $16.60 Typical High $20.89 | Professional | None | $12.88 | $16.60 | $20.89 |
BCBS Idaho Setting Facility Modifier None Typical Low $33.11 Median $54.95 Typical High $102.33 | Facility | None | $33.11 | $54.95 | $102.33 |
BCBS Idaho Setting Professional Modifier None Typical Low $17.38 Median $21.88 Typical High $30.20 | Professional | None | $17.38 | $21.88 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $19.50 Typical High $24.55 | Professional | None | $14.13 | $19.50 | $24.55 |
Moda Health Setting Facility Modifier None Typical Low $14.13 Median $20.89 Typical High $60.26 | Facility | None | $14.13 | $20.89 | $60.26 |
Moda Health Setting Professional Modifier None Typical Low $15.85 Median $20.42 Typical High $26.30 | Professional | None | $15.85 | $20.42 | $26.30 |
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 $27.54 | Facility | None | $19.05 | $19.05 | $27.54 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $19.05 Median $19.95 Typical High $27.54 | Professional | None | $19.05 | $19.95 | $27.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $51.29 Median $72.44 Typical High $93.33 | Facility | None | $51.29 | $72.44 | $93.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $15.85 Median $20.89 Typical High $26.30 | Professional | None | $15.85 | $20.89 | $26.30 |
Select Health Setting Facility Modifier None Typical Low $14.45 Median $14.79 Typical High $38.02 | Facility | None | $14.45 | $14.79 | $38.02 |
Select Health Setting Professional Modifier None Typical Low $12.02 Median $14.45 Typical High $21.88 | Professional | None | $12.02 | $14.45 | $21.88 |
United Setting Professional Modifier None Typical Low $13.18 Median $16.60 Typical High $23.44 | Professional | None | $13.18 | $16.60 | $23.44 |
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 $12.30 Median $17.38 Typical High $20.89 | Professional | 78 · Unplanned return to OR | $12.30 | $17.38 | $20.89 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $12.30 Median $12.30 Typical High $15.49 | Professional | 54 · Surgery only | $12.30 | $12.30 | $15.49 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $1.78 Typical High $2.19 | Professional | 56 · Pre-op care only | $1.78 | $1.78 | $2.19 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $13.18 Median $13.18 Typical High $16.60 | Professional | 78 · Unplanned return to OR | $13.18 | $13.18 | $16.60 |
Where Idaho sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 8th of 51
$19.95
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.