How much rates vary
Facilitymedian $269 · 10th to 90th $162 to $437Professionalmedian $316 · 10th to 90th $224 to $513
Distribution of negotiated rates across all payers (price axis is log-scale). 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 Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $436.52 | Facility | None | $309.03 | $309.03 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $245.47 Typical High $346.74 | Professional | None | $213.80 | $245.47 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $123.03 Typical High $173.78 | Professional | 52 · Reduced service | $109.65 | $123.03 | $173.78 |
BCBS Idaho Setting Facility Modifier None Typical Low $144.54 Median $186.21 Typical High $288.40 | Facility | None | $144.54 | $186.21 | $288.40 |
BCBS Idaho Setting Professional Modifier None Typical Low $281.84 Median $346.74 Typical High $575.44 | Professional | None | $281.84 | $346.74 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $316.23 Typical High $446.68 | Professional | None | $223.87 | $316.23 | $446.68 |
Moda Health Setting Facility Modifier None Typical Low $208.93 Median $281.84 Typical High $354.81 | Facility | None | $208.93 | $281.84 | $354.81 |
Moda Health Setting Professional Modifier None Typical Low $218.78 Median $338.84 Typical High $478.63 | Professional | None | $218.78 | $338.84 | $478.63 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $123.03 Typical High $173.78 | Professional | 52 · Reduced service | $109.65 | $123.03 | $173.78 |
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 $309.03 Median $309.03 Typical High $524.81 | Facility | None | $309.03 | $309.03 | $524.81 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $309.03 Median $316.23 Typical High $524.81 | Professional | None | $309.03 | $316.23 | $524.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $144.54 Median $208.93 Typical High $288.40 | Facility | None | $144.54 | $208.93 | $288.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $478.63 | Professional | None | $269.15 | $346.74 | $478.63 |
Select Health Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $281.84 | Facility | None | $275.42 | $275.42 | $281.84 |
Select Health Setting Professional Modifier None Typical Low $194.98 Median $275.42 Typical High $371.54 | Professional | None | $194.98 | $275.42 | $371.54 |
United Setting Professional Modifier None Typical Low $194.98 Median $275.42 Typical High $389.05 | Professional | None | $194.98 | $275.42 | $389.05 |
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 |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $234.42 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $204.17 | $234.42 | $389.05 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $204.17 Typical High $288.40 | Professional | 54 · Surgery only | $204.17 | $204.17 | $288.40 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $40.74 | Professional | 56 · Pre-op care only | $29.51 | $29.51 | $40.74 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $218.78 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $218.78 | $218.78 | $309.03 |
Where Idaho sits
The same service costs 2.7 times more in Alaska than in Alabama. 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
$316
AK $501AL $186
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.