How much rates vary
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 $13.49 Median $16.22 Typical High $18.62 | Professional | None | $13.49 | $16.22 | $18.62 |
BCBS Idaho Setting Professional Modifier None Typical Low $18.62 Median $22.39 Typical High $30.90 | Professional | None | $18.62 | $22.39 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $20.89 Typical High $23.44 | Professional | None | $16.60 | $20.89 | $23.44 |
Moda Health Setting Facility Modifier None Typical Low $13.80 Median $16.60 Typical High $23.44 | Facility | None | $13.80 | $16.60 | $23.44 |
Moda Health Setting Professional Modifier None Typical Low $14.45 Median $18.62 Typical High $26.30 | Professional | None | $14.45 | $18.62 | $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 $19.95 Median $19.95 Typical High $28.18 | Facility | None | $19.95 | $19.95 | $28.18 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $19.95 Median $20.42 Typical High $28.18 | Professional | None | $19.95 | $20.42 | $28.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $17.38 Median $22.39 Typical High $26.30 | Professional | None | $17.38 | $22.39 | $26.30 |
Select Health Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $15.14 | Facility | None | $14.79 | $14.79 | $15.14 |
Select Health Setting Professional Modifier None Typical Low $12.88 Median $14.79 Typical High $23.44 | Professional | None | $12.88 | $14.79 | $23.44 |
United Setting Professional Modifier None Typical Low $14.13 Median $17.78 Typical High $24.55 | Professional | None | $14.13 | $17.78 | $24.55 |
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 $15.85 Typical High $21.88 | Professional | 78 · Unplanned return to OR | $12.88 | $15.85 | $21.88 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $13.49 Median $13.49 Typical High $15.85 | Professional | 54 · Surgery only | $13.49 | $13.49 | $15.85 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $1.91 Typical High $2.24 | Professional | 56 · Pre-op care only | $1.91 | $1.91 | $2.24 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $14.45 Median $14.45 Typical High $16.98 | Professional | 78 · Unplanned return to OR | $14.45 | $14.45 | $16.98 |
Where Idaho sits
The same service costs 2.9 times more in Alaska than in Kentucky. 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· 11th 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.