How much rates vary
Facilitymedian $759 · 10th to 90th $575 to $1,820Professionalmedian $724 · 10th to 90th $427 to $1,259
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 $457.09 Median $724.44 Typical High $812.83 | Professional | None | $457.09 | $724.44 | $812.83 |
BCBS Idaho Setting Facility Modifier None Typical Low $575.44 Median $1,122.02 Typical High $1,584.89 | Facility | None | $575.44 | $1,122.02 | $1,584.89 |
BCBS Idaho Setting Professional Modifier None Typical Low $426.58 Median $1,202.26 Typical High $1,258.93 | Professional | None | $426.58 | $1,202.26 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $851.14 | Facility | None | $812.83 | $812.83 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $812.83 | Professional | None | $588.84 | $588.84 | $812.83 |
Moda Health Setting Facility Modifier None Typical Low $288.40 Median $602.56 Typical High $776.25 | Facility | None | $288.40 | $602.56 | $776.25 |
Moda Health Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $724.44 | Professional | None | $457.09 | $630.96 | $724.44 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $812.83 Typical High $954.99 | Professional | None | $30.20 | $812.83 | $954.99 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $724.44 Median $758.58 Typical High $36,307.81 | Facility | None | $724.44 | $758.58 | $36,307.81 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $630.96 Median $758.58 Typical High $42,657.95 | Professional | None | $630.96 | $758.58 | $42,657.95 |
Regence BlueShield Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $1,047.13 | Facility | None | $575.44 | $575.44 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $630.96 | Professional | None | $426.58 | $426.58 | $630.96 |
Select Health Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $616.60 | Facility | None | $602.56 | $602.56 | $616.60 |
Select Health Setting Professional Modifier None Typical Low $602.56 Median $954.99 Typical High $1,148.15 | Professional | None | $602.56 | $954.99 | $1,148.15 |
United Setting Professional Modifier None Typical Low $588.84 Median $630.96 Typical High $794.33 | Professional | None | $588.84 | $630.96 | $794.33 |
10 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $229.09 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $91.20 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $69.18 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $45.71 | $72.44 | $72.44 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $831.76 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $741.31 | $831.76 | $870.96 |
Cigna Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | RR · Rental | $69.18 | $69.18 | $81.28 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $229.09 | $363.08 | $363.08 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $91.20 | $144.54 | $144.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $69.18 | $107.15 | $107.15 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $45.71 | $72.44 | $72.44 |
Where Idaho sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 34th of 51
$724
HI $1,445UT $550
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.