How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $91.20 Median $100.00 Typical High $102.33 | Professional | None | $91.20 | $100.00 | $102.33 |
BCBS Idaho Setting Facility Modifier None Typical Low $162.18 Median $169.82 Typical High $257.04 | Facility | None | $162.18 | $169.82 | $257.04 |
BCBS Idaho Setting Professional Modifier None Typical Low $162.18 Median $208.93 Typical High $245.47 | Professional | None | $162.18 | $208.93 | $245.47 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $162.18 Typical High $173.78 | Professional | 78 · Unplanned return to OR | $134.90 | $162.18 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Moda Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $138.04 | Facility | None | $100.00 | $100.00 | $138.04 |
Moda Health Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $199.53 | Professional | None | $91.20 | $100.00 | $199.53 |
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 $120.23 Median $134.90 Typical High $194.98 | Facility | None | $120.23 | $134.90 | $194.98 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $229.09 | Professional | None | $120.23 | $134.90 | $229.09 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 78 · Unplanned return to OR | $144.54 | $144.54 | $144.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $162.18 Median $173.78 Typical High $257.04 | Facility | None | $162.18 | $173.78 | $257.04 |
Regence BlueShield Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $162.18 | Professional | None | $138.04 | $162.18 | $162.18 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $109.65 | Facility | None | $107.15 | $107.15 | $109.65 |
Select Health Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $199.53 | Professional | None | $107.15 | $151.36 | $199.53 |
United Setting Professional Modifier None Typical Low $114.82 Median $141.25 Typical High $186.21 | Professional | None | $114.82 | $141.25 | $186.21 |
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 $208.93 Median $208.93 Typical High $208.93 | Professional | 22 · Increased work | $208.93 | $208.93 | $208.93 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 54 · Surgery only | $134.90 | $134.90 | $134.90 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 56 · Pre-op care only | $19.05 | $19.05 | $19.05 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 63 · Small infant | $208.93 | $208.93 | $208.93 |
Where Idaho sits
The same service costs 2.8 times more in Alaska than in Texas. 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· 13th of 51
$141
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.