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 $67.61 Median $83.18 Typical High $89.13 | Professional | None | $67.61 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $41.69 Typical High $44.67 | Professional | 52 · Reduced service | $38.90 | $41.69 | $44.67 |
BCBS Idaho Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $141.25 | Professional | None | $87.10 | $104.71 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Moda Health Setting Facility Modifier None Typical Low $63.10 Median $83.18 Typical High $93.33 | Facility | None | $63.10 | $83.18 | $93.33 |
Moda Health Setting Professional Modifier None Typical Low $77.62 Median $83.18 Typical High $107.15 | Professional | None | $77.62 | $83.18 | $107.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $41.69 Typical High $44.67 | Professional | 52 · Reduced service | $38.90 | $41.69 | $44.67 |
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 $53.70 Median $74.13 Typical High $104.71 | Facility | None | $53.70 | $74.13 | $104.71 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $112.20 | Professional | None | $53.70 | $75.86 | $112.20 |
Regence BlueShield Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $95.50 | Professional | None | $70.79 | $87.10 | $95.50 |
Select Health Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $63.10 | Facility | None | $61.66 | $61.66 | $63.10 |
Select Health Setting Professional Modifier None Typical Low $57.54 Median $63.10 Typical High $107.15 | Professional | None | $57.54 | $63.10 | $107.15 |
United Setting Professional Modifier None Typical Low $64.57 Median $79.43 Typical High $107.15 | Professional | None | $64.57 | $79.43 | $107.15 |
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 |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $72.44 Median $77.62 Typical High $97.72 | Professional | 78 · Unplanned return to OR | $72.44 | $77.62 | $97.72 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $72.44 Typical High $77.62 | Professional | 54 · Surgery only | $72.44 | $72.44 | $77.62 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $11.22 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $11.22 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $77.62 Median $77.62 Typical High $83.18 | Professional | 78 · Unplanned return to OR | $77.62 | $77.62 | $83.18 |
Where Idaho sits
The same service costs 2.8 times more in Alaska than in Alabama. 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· 12th of 51
$87.10
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.