How much rates vary
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 Professional Modifier None Typical Low $28.84 Median $69.18 Typical High $69.18 | Professional | None | $28.84 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $10.47 Typical High $10.47 | Professional | 55 · Aftercare only | $4.37 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $6.92 Typical High $6.92 | Professional | 56 · Pre-op care only | $2.88 | $6.92 | $6.92 |
BCBS Idaho Setting Facility Modifier None Typical Low $44.67 Median $58.88 Typical High $91.20 | Facility | None | $44.67 | $58.88 | $91.20 |
BCBS Idaho Setting Professional Modifier None Typical Low $34.67 Median $58.88 Typical High $61.66 | Professional | None | $34.67 | $58.88 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Moda Health Setting Facility Modifier None Typical Low $46.77 Median $48.98 Typical High $69.18 | Facility | None | $46.77 | $48.98 | $69.18 |
Moda Health Setting Professional Modifier None Typical Low $28.84 Median $51.29 Typical High $69.18 | Professional | None | $28.84 | $51.29 | $69.18 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $10.47 Typical High $10.47 | Professional | 55 · Aftercare only | $4.37 | $10.47 | $10.47 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $6.92 Typical High $6.92 | Professional | 56 · Pre-op care only | $2.88 | $6.92 | $6.92 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $61.66 Median $1,819.70 Typical High $2,951.21 | Facility | None | $61.66 | $1,819.70 | $2,951.21 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $3,467.37 | Professional | None | $51.29 | $61.66 | $3,467.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $51.29 | Professional | None | $34.67 | $34.67 | $51.29 |
Select Health Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $112.20 | Facility | None | $48.98 | $48.98 | $112.20 |
Select Health Setting Professional Modifier None Typical Low $48.98 Median $53.70 Typical High $114.82 | Professional | None | $48.98 | $53.70 | $114.82 |
United Setting Professional Modifier None Typical Low $18.62 Median $25.12 Typical High $42.66 | Professional | None | $18.62 | $25.12 | $42.66 |
1 more rate 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 $36.31 Median $40.74 Typical High $42.66 | Professional | 78 · Unplanned return to OR | $36.31 | $40.74 | $42.66 |
Where Idaho sits
The same service costs 5.5 times more in Wyoming than in Utah. 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· 6th of 51
$51.29
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.