How much rates vary
Facilitymedian $34 · 10th to 90th $19 to $50Professionalmedian $31 · 10th to 90th $19 to $31
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 $30.90 Typical High $30.90 | Professional | None | $30.20 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $15.14 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $6.03 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.68 Typical High $4.68 | Professional | 55 · Aftercare only | $4.47 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.09 Typical High $3.09 | Professional | 56 · Pre-op care only | $3.02 | $3.09 | $3.09 |
BCBS Idaho Setting Facility Modifier None Typical Low $25.70 Median $36.31 Typical High $51.29 | Facility | None | $25.70 | $36.31 | $51.29 |
BCBS Idaho Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $34.67 Typical High $83.18 | Facility | None | $33.88 | $34.67 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Moda Health Setting Facility Modifier None Typical Low $7.76 Median $30.90 Typical High $44.67 | Facility | None | $7.76 | $30.90 | $44.67 |
Moda Health Setting Professional Modifier None Typical Low $30.20 Median $30.90 Typical High $30.90 | Professional | None | $30.20 | $30.90 | $30.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $15.14 | $15.49 | $15.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $6.03 | $6.17 | $6.17 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.68 Typical High $4.68 | Professional | 55 · Aftercare only | $4.47 | $4.68 | $4.68 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.09 Typical High $3.09 | Professional | 56 · Pre-op care only | $3.02 | $3.09 | $3.09 |
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 $17.38 Median $19.50 Typical High $28.18 | Facility | None | $17.38 | $19.50 | $28.18 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $16.60 Median $19.50 Typical High $33.11 | Professional | None | $16.60 | $19.50 | $33.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $25.70 Median $26.92 Typical High $40.74 | Facility | None | $25.70 | $26.92 | $40.74 |
Select Health Setting Facility Modifier None Typical Low $41.69 Median $48.98 Typical High $69.18 | Facility | None | $41.69 | $48.98 | $69.18 |
Select Health Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $36.31 | Professional | None | $32.36 | $32.36 | $36.31 |
United Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $31.62 | Professional | None | $30.20 | $30.20 | $31.62 |
1 more rate 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 $20.42 Median $21.38 Typical High $21.38 | Professional | 78 · Unplanned return to OR | $20.42 | $21.38 | $21.38 |
Where Idaho sits
The same service costs 4.7 times more in Alaska than in Hawaii. 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· 32nd of 51
$30.90
AK $44.67HI $9.55
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.