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 $6.17 Median $12.59 Typical High $12.59 | Professional | None | $6.17 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.91 Median $1.86 Typical High $1.86 | Professional | 55 · Aftercare only | $0.91 | $1.86 | $1.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.62 Median $1.26 Typical High $1.26 | Professional | 56 · Pre-op care only | $0.62 | $1.26 | $1.26 |
BCBS Idaho Setting Facility Modifier None Typical Low $5.75 Median $8.71 Typical High $14.79 | Facility | None | $5.75 | $8.71 | $14.79 |
BCBS Idaho Setting Professional Modifier None Typical Low $6.61 Median $9.77 Typical High $10.23 | Professional | None | $6.61 | $9.77 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
Moda Health Setting Facility Modifier None Typical Low $8.13 Median $8.91 Typical High $12.59 | Facility | None | $8.13 | $8.91 | $12.59 |
Moda Health Setting Professional Modifier None Typical Low $6.17 Median $9.77 Typical High $12.59 | Professional | None | $6.17 | $9.77 | $12.59 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.91 Median $1.86 Typical High $1.86 | Professional | 55 · Aftercare only | $0.91 | $1.86 | $1.86 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.62 Median $1.26 Typical High $1.26 | Professional | 56 · Pre-op care only | $0.62 | $1.26 | $1.26 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $11.75 Median $346.74 Typical High $562.34 | Facility | None | $11.75 | $346.74 | $562.34 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $9.77 Median $11.75 Typical High $660.69 | Professional | None | $9.77 | $11.75 | $660.69 |
Regence BlueShield Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $9.77 | Professional | None | $6.61 | $6.61 | $9.77 |
Select Health Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $13.49 | Facility | None | $9.33 | $9.33 | $13.49 |
Select Health Setting Professional Modifier None Typical Low $9.33 Median $10.23 Typical High $21.88 | Professional | None | $9.33 | $10.23 | $21.88 |
United Setting Professional Modifier None Typical Low $3.55 Median $4.57 Typical High $7.08 | Professional | None | $3.55 | $4.57 | $7.08 |
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 $6.17 Median $6.92 Typical High $7.24 | Professional | 78 · Unplanned return to OR | $6.17 | $6.92 | $7.24 |
Where Idaho sits
The same service costs 3.3 times more in Hawaii 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· 9th of 51
$9.77
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.