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 $0.56 Median $0.93 Typical High $0.93 | Professional | None | $0.56 | $0.93 | $0.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.09 Median $0.14 Typical High $0.14 | Professional | 55 · Aftercare only | $0.09 | $0.14 | $0.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.09 Typical High $0.09 | Professional | 56 · Pre-op care only | $0.06 | $0.09 | $0.09 |
BCBS Idaho Setting Facility Modifier None Typical Low $0.78 Median $0.93 Typical High $1.12 | Facility | None | $0.78 | $0.93 | $1.12 |
BCBS Idaho Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | None | $0.79 | $0.79 | $0.79 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | None | $1.82 | $1.82 | $1.82 |
Moda Health Setting Facility Modifier None Typical Low $0.58 Median $0.93 Typical High $1.35 | Facility | None | $0.58 | $0.93 | $1.35 |
Moda Health Setting Professional Modifier None Typical Low $0.58 Median $0.93 Typical High $0.93 | Professional | None | $0.58 | $0.93 | $0.93 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.09 Median $0.14 Typical High $0.14 | Professional | 55 · Aftercare only | $0.09 | $0.14 | $0.14 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.09 Typical High $0.09 | Professional | 56 · Pre-op care only | $0.06 | $0.09 | $0.09 |
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 $0.68 Median $0.78 Typical High $1.10 | Facility | None | $0.68 | $0.78 | $1.10 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $0.68 Median $0.78 Typical High $1.29 | Professional | None | $0.68 | $0.78 | $1.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $0.72 Median $0.72 Typical High $1.51 | Professional | None | $0.72 | $0.72 | $1.51 |
Select Health Setting Facility Modifier None Typical Low $0.89 Median $1.05 Typical High $1.45 | Facility | None | $0.89 | $1.05 | $1.45 |
United Setting Professional Modifier None Typical Low $0.28 Median $0.43 Typical High $0.68 | Professional | None | $0.28 | $0.43 | $0.68 |
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 $0.47 Median $0.52 Typical High $0.55 | Professional | 78 · Unplanned return to OR | $0.47 | $0.52 | $0.55 |
Where Idaho sits
The same service costs 190.5 times more in Wyoming than in Rhode Island. 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· 17th of 51
$0.93
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.