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 $794.33 Median $1,148.15 Typical High $1,148.15 | Professional | None | $794.33 | $1,148.15 | $1,148.15 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $1,584.89 | Professional | None | $1,288.25 | $1,348.96 | $1,584.89 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,023.29 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $912.01 | $1,023.29 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,288.25 Typical High $1,479.11 | Professional | None | $1,023.29 | $1,288.25 | $1,479.11 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,148.15 Typical High $1,659.59 | Facility | None | $1,000.00 | $1,148.15 | $1,659.59 |
Moda Health Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,584.89 | Professional | None | $912.01 | $1,148.15 | $1,584.89 |
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 $1,288.25 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,288.25 | $1,412.54 | $1,412.54 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,348.96 Median $1,412.54 Typical High $1,445.44 | Professional | None | $1,348.96 | $1,412.54 | $1,445.44 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,000.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,202.26 Median $1,318.26 Typical High $1,584.89 | Professional | None | $1,202.26 | $1,318.26 | $1,584.89 |
Select Health Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $758.58 | Facility | None | $741.31 | $741.31 | $758.58 |
Select Health Setting Professional Modifier None Typical Low $741.31 Median $954.99 Typical High $1,659.59 | Professional | None | $741.31 | $954.99 | $1,659.59 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,230.27 Typical High $1,621.81 | Professional | None | $933.25 | $1,230.27 | $1,621.81 |
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 $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | 22 · Increased work | $1,479.11 | $1,479.11 | $1,479.11 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $933.25 | $933.25 | $933.25 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $134.90 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | 63 · Small infant | $1,479.11 | $1,479.11 | $1,479.11 |
Where Idaho sits
The same service costs 2.9 times more in Alaska than in Florida. 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· 12th of 51
$1,318
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.