How much rates vary
Facilitymedian $46 · 10th to 90th $32 to $87Professionalmedian $32 · 10th to 90th $29 to $35
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 $28.84 Median $35.48 Typical High $35.48 | Professional | None | $28.84 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $14.45 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $5.75 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $5.37 Typical High $5.37 | Professional | 55 · Aftercare only | $4.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $3.55 Typical High $3.55 | Professional | 56 · Pre-op care only | $2.88 | $3.55 | $3.55 |
BCBS Idaho Setting Facility Modifier None Typical Low $37.15 Median $51.29 Typical High $87.10 | Facility | None | $37.15 | $51.29 | $87.10 |
BCBS Idaho Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $32.36 | Professional | None | $31.62 | $31.62 | $32.36 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $20.89 Median $21.88 Typical High $22.39 | Professional | 78 · Unplanned return to OR | $20.89 | $21.88 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $45.71 Typical High $87.10 | Facility | None | $35.48 | $45.71 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Moda Health Setting Facility Modifier None Typical Low $31.62 Median $35.48 Typical High $51.29 | Facility | None | $31.62 | $35.48 | $51.29 |
Moda Health Setting Professional Modifier None Typical Low $30.90 Median $35.48 Typical High $35.48 | Professional | None | $30.90 | $35.48 | $35.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $15.49 | $17.78 | $17.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $6.17 | $7.08 | $7.08 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $5.37 Typical High $5.37 | Professional | 55 · Aftercare only | $4.68 | $5.37 | $5.37 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.55 Typical High $3.55 | Professional | 56 · Pre-op care only | $3.09 | $3.55 | $3.55 |
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 $32.36 Median $32.36 Typical High $42.66 | Facility | None | $32.36 | $32.36 | $42.66 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $28.18 Median $32.36 Typical High $33.88 | Professional | None | $28.18 | $32.36 | $33.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $37.15 Median $51.29 Typical High $87.10 | Facility | None | $37.15 | $51.29 | $87.10 |
Select Health Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Select Health Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $38.02 | Professional | None | $28.84 | $28.84 | $38.02 |
United Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $30.20 | Professional | None | $28.84 | $28.84 | $30.20 |
Where Idaho sits
Rates are fairly even across states for this service. 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· 17th of 51
$32.36
AK $42.66MD $28.84
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.