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 $0.98 Median $2.19 Typical High $2.19 | Professional | None | $0.98 | $2.19 | $2.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.33 Typical High $0.33 | Professional | 55 · Aftercare only | $0.15 | $0.33 | $0.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.22 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.10 | $0.22 | $0.22 |
BCBS Idaho Setting Facility Modifier None Typical Low $2.04 Median $6.03 Typical High $15.49 | Facility | None | $2.04 | $6.03 | $15.49 |
BCBS Idaho Setting Professional Modifier None Typical Low $1.00 Median $1.48 Typical High $1.55 | Professional | None | $1.00 | $1.48 | $1.55 |
Cigna Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | None | $1.02 | $1.02 | $1.02 |
Moda Health Setting Facility Modifier None Typical Low $1.35 Median $1.41 Typical High $3.16 | Facility | None | $1.35 | $1.41 | $3.16 |
Moda Health Setting Professional Modifier None Typical Low $1.00 Median $1.48 Typical High $2.19 | Professional | None | $1.00 | $1.48 | $2.19 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.33 Typical High $0.33 | Professional | 55 · Aftercare only | $0.15 | $0.33 | $0.33 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.22 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.10 | $0.22 | $0.22 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1.78 Median $52.48 Typical High $85.11 | Facility | None | $1.78 | $52.48 | $85.11 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1.48 Median $1.78 Typical High $100.00 | Professional | None | $1.48 | $1.78 | $100.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $1.48 | Professional | None | $1.00 | $1.00 | $1.48 |
Select Health Setting Facility Modifier None Typical Low $1.41 Median $1.41 Typical High $27.54 | Facility | None | $1.41 | $1.41 | $27.54 |
Select Health Setting Professional Modifier None Typical Low $1.41 Median $1.58 Typical High $3.39 | Professional | None | $1.41 | $1.58 | $3.39 |
United Setting Professional Modifier None Typical Low $0.56 Median $0.85 Typical High $10.72 | Professional | None | $0.56 | $0.85 | $10.72 |
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 $0.93 Median $1.05 Typical High $1.10 | Professional | 78 · Unplanned return to OR | $0.93 | $1.05 | $1.10 |
Where Idaho sits
The same service costs 7.4 times more in Kentucky than in Delaware. 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
$1.48
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.