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 $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
BCBS Idaho Setting Facility Modifier None Typical Low $37.15 Median $51.29 Typical High $69.18 | Facility | None | $37.15 | $51.29 | $69.18 |
BCBS Idaho Setting Professional Modifier None Typical Low $27.54 Median $42.66 Typical High $43.65 | Professional | None | $27.54 | $42.66 | $43.65 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $25.12 Median $28.84 Typical High $30.90 | Professional | 78 · Unplanned return to OR | $25.12 | $28.84 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Moda Health Setting Facility Modifier None Typical Low $30.20 Median $35.48 Typical High $38.90 | Facility | None | $30.20 | $35.48 | $38.90 |
Moda Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $40.74 | Professional | None | $30.20 | $30.20 | $40.74 |
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 $48.98 Median $1,445.44 Typical High $2,344.23 | Facility | None | $48.98 | $1,445.44 | $2,344.23 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $2,754.23 | Professional | None | $35.48 | $48.98 | $2,754.23 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 78 · Unplanned return to OR | $26.92 | $26.92 | $26.92 |
Regence BlueShield Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $54.95 | Facility | None | $37.15 | $37.15 | $54.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $40.74 | Professional | None | $27.54 | $27.54 | $40.74 |
Select Health Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $69.18 | Facility | None | $38.90 | $38.90 | $69.18 |
Select Health Setting Professional Modifier None Typical Low $38.90 Median $42.66 Typical High $91.20 | Professional | None | $38.90 | $42.66 | $91.20 |
United Setting Professional Modifier None Typical Low $14.79 Median $22.39 Typical High $23.44 | Professional | None | $14.79 | $22.39 | $23.44 |
4 more rates 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 |
|---|---|---|---|---|---|
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 22 · Increased work | $39.81 | $39.81 | $39.81 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 54 · Surgery only | $25.12 | $25.12 | $25.12 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | 56 · Pre-op care only | $3.55 | $3.55 | $3.55 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 63 · Small infant | $39.81 | $39.81 | $39.81 |
Where Idaho sits
The same service costs 3.2 times more in Illinois than in Oklahoma. 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· 27th of 51
$30.20
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.