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 $33.11 Median $75.86 Typical High $75.86 | Professional | None | $33.11 | $75.86 | $75.86 |
BCBS Idaho Setting Facility Modifier None Typical Low $60.26 Median $83.18 Typical High $114.82 | Facility | None | $60.26 | $83.18 | $114.82 |
BCBS Idaho Setting Professional Modifier None Typical Low $44.67 Median $72.44 Typical High $75.86 | Professional | None | $44.67 | $72.44 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $43.65 | Facility | None | $40.74 | $40.74 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Moda Health Setting Facility Modifier None Typical Low $34.67 Median $64.57 Typical High $75.86 | Facility | None | $34.67 | $64.57 | $75.86 |
Moda Health Setting Professional Modifier None Typical Low $34.67 Median $67.61 Typical High $75.86 | Professional | None | $34.67 | $67.61 | $75.86 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $52.48 Typical High $61.66 | Professional | None | $30.20 | $52.48 | $61.66 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $61.66 Median $79.43 Typical High $3,801.89 | Facility | None | $61.66 | $79.43 | $3,801.89 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $13.18 Median $79.43 Typical High $4,466.84 | Professional | None | $13.18 | $79.43 | $4,466.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $91.20 | Facility | None | $60.26 | $60.26 | $91.20 |
Regence BlueShield Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $67.61 | Professional | None | $44.67 | $44.67 | $67.61 |
Select Health Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $165.96 | Facility | None | $64.57 | $64.57 | $165.96 |
Select Health Setting Professional Modifier None Typical Low $52.48 Median $64.57 Typical High $109.65 | Professional | None | $52.48 | $64.57 | $109.65 |
United Setting Professional Modifier None Typical Low $21.38 Median $34.67 Typical High $46.77 | Professional | None | $21.38 | $34.67 | $46.77 |
5 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $11.48 Typical High $11.48 | Professional | 55 · Aftercare only | $5.01 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $7.59 Typical High $7.59 | Professional | 56 · Pre-op care only | $3.31 | $7.59 | $7.59 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $50.12 Median $53.70 Typical High $56.23 | Professional | 78 · Unplanned return to OR | $50.12 | $53.70 | $56.23 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $11.48 Typical High $11.48 | Professional | 55 · Aftercare only | $5.01 | $11.48 | $11.48 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $7.59 Typical High $7.59 | Professional | 56 · Pre-op care only | $3.31 | $7.59 | $7.59 |
Where Idaho sits
The same service costs 2.6 times more in Wyoming 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· 10th of 51
$63.10
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.