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 $25.70 Median $34.67 Typical High $38.90 | Professional | None | $25.70 | $34.67 | $38.90 |
BCBS Idaho Setting Facility Modifier None Typical Low $33.88 Median $54.95 Typical High $93.33 | Facility | None | $33.88 | $54.95 | $93.33 |
BCBS Idaho Setting Professional Modifier None Typical Low $37.15 Median $41.69 Typical High $56.23 | Professional | None | $37.15 | $41.69 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $37.15 Typical High $45.71 | Professional | None | $28.84 | $37.15 | $45.71 |
Moda Health Setting Facility Modifier None Typical Low $27.54 Median $36.31 Typical High $56.23 | Facility | None | $27.54 | $36.31 | $56.23 |
Moda Health Setting Professional Modifier None Typical Low $32.36 Median $38.90 Typical High $48.98 | Professional | None | $32.36 | $38.90 | $48.98 |
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 $39.81 Median $39.81 Typical High $51.29 | Facility | None | $39.81 | $39.81 | $51.29 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $39.81 Median $40.74 Typical High $52.48 | Professional | None | $39.81 | $40.74 | $52.48 |
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 $33.88 Median $40.74 Typical High $48.98 | Professional | None | $33.88 | $40.74 | $48.98 |
Select Health Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $38.02 | Facility | None | $27.54 | $27.54 | $38.02 |
Select Health Setting Professional Modifier None Typical Low $25.12 Median $28.18 Typical High $45.71 | Professional | None | $25.12 | $28.18 | $45.71 |
United Setting Professional Modifier None Typical Low $26.92 Median $33.88 Typical High $45.71 | Professional | None | $26.92 | $33.88 | $45.71 |
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 $26.92 Median $30.20 Typical High $40.74 | Professional | 78 · Unplanned return to OR | $26.92 | $30.20 | $40.74 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $26.30 Median $26.30 Typical High $28.84 | Professional | 54 · Surgery only | $26.30 | $26.30 | $28.84 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $3.72 Typical High $4.17 | Professional | 56 · Pre-op care only | $3.72 | $3.72 | $4.17 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $28.18 Median $28.18 Typical High $30.90 | Professional | 78 · Unplanned return to OR | $28.18 | $28.18 | $30.90 |
Where Idaho sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 9th of 51
$38.90
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.