How much rates vary
Facilitymedian $186 · 10th to 90th $166 to $288Professionalmedian $245 · 10th to 90th $162 to $363
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 $147.91 Median $169.82 Typical High $190.55 | Professional | None | $147.91 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $85.11 Typical High $91.20 | Professional | 52 · Reduced service | $74.13 | $85.11 | $91.20 |
BCBS Idaho Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $380.19 | Professional | None | $281.84 | $331.13 | $380.19 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $251.19 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $229.09 | $251.19 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Moda Health Setting Facility Modifier None Typical Low $147.91 Median $169.82 Typical High $245.47 | Facility | None | $147.91 | $169.82 | $245.47 |
Moda Health Setting Professional Modifier None Typical Low $154.88 Median $169.82 Typical High $309.03 | Professional | None | $154.88 | $169.82 | $309.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $74.13 | $85.11 | $85.11 |
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 $186.21 Median $208.93 Typical High $302.00 | Facility | None | $186.21 | $208.93 | $302.00 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $186.21 Median $208.93 Typical High $354.81 | Professional | None | $186.21 | $208.93 | $354.81 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $251.19 | $251.19 | $251.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $239.88 Median $281.84 Typical High $309.03 | Professional | None | $239.88 | $281.84 | $309.03 |
Select Health Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $173.78 | Facility | None | $165.96 | $165.96 | $173.78 |
Select Health Setting Professional Modifier None Typical Low $165.96 Median $173.78 Typical High $363.08 | Professional | None | $165.96 | $173.78 | $363.08 |
United Setting Professional Modifier None Typical Low $194.98 Median $257.04 Typical High $346.74 | Professional | None | $194.98 | $257.04 | $346.74 |
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 $363.08 Median $363.08 Typical High $363.08 | Professional | 22 · Increased work | $363.08 | $363.08 | $363.08 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 54 · Surgery only | $234.42 | $234.42 | $234.42 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 63 · Small infant | $363.08 | $363.08 | $363.08 |
Where Idaho sits
The same service costs 3.2 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· 15th of 51
$245
AK $501TX $158
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.