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 $229.09 Median $295.12 Typical High $295.12 | Professional | None | $229.09 | $295.12 | $295.12 |
BCBS Idaho Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
BCBS Idaho Setting Professional Modifier None Typical Low $338.84 Median $354.81 Typical High $398.11 | Professional | None | $338.84 | $354.81 | $398.11 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $269.15 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $239.88 | $269.15 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $338.84 Typical High $380.19 | Professional | None | $269.15 | $338.84 | $380.19 |
Moda Health Setting Facility Modifier None Typical Low $257.04 Median $295.12 Typical High $426.58 | Facility | None | $257.04 | $295.12 | $426.58 |
Moda Health Setting Professional Modifier None Typical Low $257.04 Median $295.12 Typical High $416.87 | Professional | None | $257.04 | $295.12 | $416.87 |
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 $331.13 Median $363.08 Typical High $363.08 | Facility | None | $331.13 | $363.08 | $363.08 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $346.74 Median $363.08 Typical High $371.54 | Professional | None | $346.74 | $363.08 | $371.54 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $263.03 | $263.03 | $263.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $316.23 Median $338.84 Typical High $416.87 | Professional | None | $316.23 | $338.84 | $416.87 |
Select Health Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $199.53 | Facility | None | $194.98 | $194.98 | $199.53 |
Select Health Setting Professional Modifier None Typical Low $194.98 Median $363.08 Typical High $446.68 | Professional | None | $194.98 | $363.08 | $446.68 |
United Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $467.74 | Professional | None | $245.47 | $331.13 | $467.74 |
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 |
|---|---|---|---|---|---|
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 22 · Increased work | $389.05 | $389.05 | $389.05 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 54 · Surgery only | $245.47 | $245.47 | $245.47 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $34.67 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 63 · Small infant | $389.05 | $389.05 | $389.05 |
Where Idaho sits
The same service costs 2.9 times more in Alaska than in New York. 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· 13th of 51
$339
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.