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 $309.03 Median $436.52 Typical High $436.52 | Professional | None | $309.03 | $436.52 | $436.52 |
BCBS Idaho Setting Professional Modifier None Typical Low $489.78 Median $512.86 Typical High $602.56 | Professional | None | $489.78 | $512.86 | $602.56 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $389.05 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $346.74 | $389.05 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $489.78 Typical High $549.54 | Professional | None | $389.05 | $489.78 | $549.54 |
Moda Health Setting Facility Modifier None Typical Low $380.19 Median $436.52 Typical High $616.60 | Facility | None | $380.19 | $436.52 | $616.60 |
Moda Health Setting Professional Modifier None Typical Low $338.84 Median $436.52 Typical High $602.56 | Professional | None | $338.84 | $436.52 | $602.56 |
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 $489.78 Median $537.03 Typical High $537.03 | Facility | None | $489.78 | $537.03 | $537.03 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $512.86 Median $537.03 Typical High $549.54 | Professional | None | $512.86 | $537.03 | $549.54 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $380.19 | $380.19 | $380.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $457.09 Median $501.19 Typical High $602.56 | Professional | None | $457.09 | $501.19 | $602.56 |
Select Health Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $288.40 | Facility | None | $281.84 | $281.84 | $288.40 |
Select Health Setting Professional Modifier None Typical Low $281.84 Median $363.08 Typical High $616.60 | Professional | None | $281.84 | $363.08 | $616.60 |
United Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $602.56 | Professional | None | $354.81 | $467.74 | $602.56 |
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 $562.34 Median $562.34 Typical High $562.34 | Professional | 22 · Increased work | $562.34 | $562.34 | $562.34 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 54 · Surgery only | $354.81 | $354.81 | $354.81 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $51.29 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 63 · Small infant | $562.34 | $562.34 | $562.34 |
Where Idaho sits
The same service costs 3.4 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· 12th of 51
$501
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.