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 $104.71 Median $151.36 Typical High $151.36 | Professional | None | $104.71 | $151.36 | $151.36 |
BCBS Idaho Setting Professional Modifier None Typical Low $165.96 Median $177.83 Typical High $208.93 | Professional | None | $165.96 | $177.83 | $208.93 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $120.23 Median $134.90 Typical High $144.54 | Professional | 78 · Unplanned return to OR | $120.23 | $134.90 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $169.82 Typical High $190.55 | Professional | None | $134.90 | $169.82 | $190.55 |
Moda Health Setting Facility Modifier None Typical Low $128.82 Median $151.36 Typical High $213.80 | Facility | None | $128.82 | $151.36 | $213.80 |
Moda Health Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $234.42 | Professional | None | $120.23 | $151.36 | $234.42 |
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 $165.96 Median $181.97 Typical High $181.97 | Facility | None | $165.96 | $181.97 | $181.97 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $173.78 Median $181.97 Typical High $186.21 | Professional | None | $173.78 | $181.97 | $186.21 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 78 · Unplanned return to OR | $131.83 | $131.83 | $131.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $158.49 Median $169.82 Typical High $208.93 | Professional | None | $158.49 | $169.82 | $208.93 |
Select Health Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $100.00 | Facility | None | $97.72 | $97.72 | $100.00 |
Select Health Setting Professional Modifier None Typical Low $97.72 Median $123.03 Typical High $213.80 | Professional | None | $97.72 | $123.03 | $213.80 |
United Setting Professional Modifier None Typical Low $123.03 Median $158.49 Typical High $208.93 | Professional | None | $123.03 | $158.49 | $208.93 |
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 $194.98 Median $194.98 Typical High $194.98 | Professional | 22 · Increased work | $194.98 | $194.98 | $194.98 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 54 · Surgery only | $123.03 | $123.03 | $123.03 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 56 · Pre-op care only | $17.38 | $17.38 | $17.38 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 63 · Small infant | $194.98 | $194.98 | $194.98 |
Where Idaho sits
The same service costs 2.8 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· 13th of 51
$170
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.