How much rates vary
Facilitymedian $617 · 10th to 90th $447 to $832Professionalmedian $501 · 10th to 90th $204 to $617
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 $346.74 Median $616.60 Typical High $616.60 | Professional | None | $346.74 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $173.78 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $69.18 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $93.33 Typical High $93.33 | Professional | 55 · Aftercare only | $52.48 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $34.67 | $61.66 | $61.66 |
BCBS Idaho Setting Facility Modifier None Typical Low $524.81 Median $630.96 Typical High $912.01 | Facility | None | $524.81 | $630.96 | $912.01 |
BCBS Idaho Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $371.54 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $316.23 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Moda Health Setting Facility Modifier None Typical Low $371.54 Median $616.60 Typical High $870.96 | Facility | None | $371.54 | $616.60 | $870.96 |
Moda Health Setting Professional Modifier None Typical Low $371.54 Median $616.60 Typical High $616.60 | Professional | None | $371.54 | $616.60 | $616.60 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $186.21 | $309.03 | $309.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $74.13 | $123.03 | $123.03 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $93.33 Typical High $93.33 | Professional | 55 · Aftercare only | $54.95 | $93.33 | $93.33 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $37.15 | $61.66 | $61.66 |
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 $446.68 Median $501.19 Typical High $724.44 | Facility | None | $446.68 | $501.19 | $724.44 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $446.68 Median $501.19 Typical High $851.14 | Professional | None | $446.68 | $501.19 | $851.14 |
Regence BlueShield Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Select Health Setting Facility Modifier None Typical Low $602.56 Median $691.83 Typical High $977.24 | Facility | None | $602.56 | $691.83 | $977.24 |
Select Health Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,096.48 | Professional | None | $912.01 | $912.01 | $1,096.48 |
United Setting Professional Modifier None Typical Low $190.55 Median $281.84 Typical High $281.84 | Professional | None | $190.55 | $281.84 | $281.84 |
Where Idaho sits
The same service costs 17.0 times more in Iowa than in Kentucky. 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· 4th of 51
$501
IA $631KY $37.15
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.