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 $489.78 Median $707.95 Typical High $707.95 | Professional | None | $489.78 | $707.95 | $707.95 |
BCBS Idaho Setting Professional Modifier None Typical Low $794.33 Median $831.76 Typical High $954.99 | Professional | None | $794.33 | $831.76 | $954.99 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $630.96 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $562.34 | $630.96 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $912.01 | Professional | None | $645.65 | $812.83 | $912.01 |
Moda Health Setting Facility Modifier None Typical Low $616.60 Median $707.95 Typical High $1,023.29 | Facility | None | $616.60 | $707.95 | $1,023.29 |
Moda Health Setting Professional Modifier None Typical Low $549.54 Median $707.95 Typical High $1,000.00 | Professional | None | $549.54 | $707.95 | $1,000.00 |
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 $776.25 Median $851.14 Typical High $851.14 | Facility | None | $776.25 | $851.14 | $851.14 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $831.76 Median $851.14 Typical High $870.96 | Professional | None | $831.76 | $851.14 | $870.96 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $630.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $1,000.00 | Professional | None | $758.58 | $831.76 | $1,000.00 |
Select Health Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $467.74 | Facility | None | $457.09 | $457.09 | $467.74 |
Select Health Setting Professional Modifier None Typical Low $457.09 Median $588.84 Typical High $1,071.52 | Professional | None | $457.09 | $588.84 | $1,071.52 |
United Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $1,023.29 | Professional | None | $575.44 | $776.25 | $1,023.29 |
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 $912.01 Median $912.01 Typical High $912.01 | Professional | 22 · Increased work | $912.01 | $912.01 | $912.01 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $588.84 | $588.84 | $588.84 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $83.18 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 63 · Small infant | $912.01 | $912.01 | $912.01 |
Where Idaho sits
The same service costs 3.0 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
$832
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.