How much rates vary
Facilitymedian $126 · 10th to 90th $85 to $263Professionalmedian $112 · 10th to 90th $85 to $155
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 $114.82 Median $114.82 Typical High $125.89 | Facility | None | $114.82 | $114.82 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $107.15 | Professional | None | $74.13 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $48.98 Typical High $52.48 | Professional | 52 · Reduced service | $42.66 | $48.98 | $52.48 |
BCBS Idaho Setting Facility Modifier None Typical Low $104.71 Median $169.82 Typical High $269.15 | Facility | None | $104.71 | $169.82 | $269.15 |
BCBS Idaho Setting Professional Modifier None Typical Low $112.20 Median $125.89 Typical High $169.82 | Professional | None | $112.20 | $125.89 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $117.49 Typical High $134.90 | Professional | None | $89.13 | $117.49 | $134.90 |
Moda Health Setting Facility Modifier None Typical Low $85.11 Median $97.72 Typical High $125.89 | Facility | None | $85.11 | $97.72 | $125.89 |
Moda Health Setting Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $147.91 | Professional | None | $77.62 | $107.15 | $147.91 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $48.98 Typical High $52.48 | Professional | 52 · Reduced service | $42.66 | $48.98 | $52.48 |
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 $120.23 Median $120.23 Typical High $154.88 | Facility | None | $120.23 | $120.23 | $154.88 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $120.23 Median $123.03 Typical High $158.49 | Professional | None | $120.23 | $123.03 | $158.49 |
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 $102.33 Median $123.03 Typical High $147.91 | Professional | None | $102.33 | $123.03 | $147.91 |
Select Health Setting Facility Modifier None Typical Low $74.13 Median $83.18 Typical High $87.10 | Facility | None | $74.13 | $83.18 | $87.10 |
Select Health Setting Professional Modifier None Typical Low $79.43 Median $89.13 Typical High $138.04 | Professional | None | $79.43 | $89.13 | $138.04 |
United Setting Professional Modifier None Typical Low $81.28 Median $102.33 Typical High $138.04 | Professional | None | $81.28 | $102.33 | $138.04 |
5 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 $75.86 Median $91.20 Typical High $117.49 | Professional | 78 · Unplanned return to OR | $75.86 | $91.20 | $117.49 |
Moda Health Setting Professional Modifier 25 · Same-day visit Typical Low $66.07 Median $77.62 Typical High $194.98 | Professional | 25 · Same-day visit | $66.07 | $77.62 | $194.98 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $79.43 Typical High $87.10 | Professional | 54 · Surgery only | $79.43 | $79.43 | $87.10 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $12.59 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $12.59 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $85.11 Median $85.11 Typical High $93.33 | Professional | 78 · Unplanned return to OR | $85.11 | $85.11 | $93.33 |
Where Idaho sits
The same service costs 2.8 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· 11th of 51
$112
AK $182NY $64.57
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.