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 $3.24 Median $10.23 Typical High $10.23 | Professional | None | $3.24 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.63 Median $1.51 Typical High $1.51 | Professional | 55 · Aftercare only | $0.63 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.42 Median $1.00 Typical High $1.00 | Professional | 56 · Pre-op care only | $0.42 | $1.00 | $1.00 |
BCBS Idaho Setting Facility Modifier None Typical Low $5.37 Median $7.24 Typical High $12.02 | Facility | None | $5.37 | $7.24 | $12.02 |
BCBS Idaho Setting Professional Modifier None Typical Low $5.37 Median $7.94 Typical High $8.32 | Professional | None | $5.37 | $7.94 | $8.32 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Moda Health Setting Facility Modifier None Typical Low $4.27 Median $10.23 Typical High $14.45 | Facility | None | $4.27 | $10.23 | $14.45 |
Moda Health Setting Professional Modifier None Typical Low $4.27 Median $7.94 Typical High $10.23 | Professional | None | $4.27 | $7.94 | $10.23 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.63 Median $1.51 Typical High $1.51 | Professional | 55 · Aftercare only | $0.63 | $1.51 | $1.51 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.42 Median $1.00 Typical High $1.00 | Professional | 56 · Pre-op care only | $0.42 | $1.00 | $1.00 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $9.55 Median $281.84 Typical High $457.09 | Facility | None | $9.55 | $281.84 | $457.09 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $7.94 Median $9.55 Typical High $537.03 | Professional | None | $7.94 | $9.55 | $537.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $7.94 | Professional | None | $5.37 | $5.37 | $7.94 |
Select Health Setting Facility Modifier None Typical Low $7.24 Median $7.59 Typical High $9.77 | Facility | None | $7.24 | $7.59 | $9.77 |
Select Health Setting Professional Modifier None Typical Low $7.59 Median $8.32 Typical High $17.78 | Professional | None | $7.59 | $8.32 | $17.78 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.16 Typical High $4.90 | Professional | None | $2.45 | $3.16 | $4.90 |
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 $5.01 Median $5.62 Typical High $5.89 | Professional | 78 · Unplanned return to OR | $5.01 | $5.62 | $5.89 |
Where Idaho sits
The same service costs 2.5 times more in Idaho than in Colorado. 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· 1st of 51
$7.94
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.