How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,514 to $3,715Professionalmedian $1,995 · 10th to 90th $1,148 to $2,884
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 $1,548.82 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,548.82 | $1,995.26 | $1,995.26 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,659.59 Median $2,238.72 Typical High $3,715.35 | Facility | None | $1,659.59 | $2,238.72 | $3,715.35 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,621.81 Median $2,454.71 Typical High $2,570.40 | Professional | None | $1,621.81 | $2,454.71 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,819.70 | Facility | None | $1,698.24 | $1,698.24 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,698.24 | Professional | None | $1,230.27 | $1,230.27 | $1,698.24 |
Moda Health Setting Facility Modifier None Typical Low $741.31 Median $1,995.26 Typical High $2,344.23 | Facility | None | $741.31 | $1,995.26 | $2,344.23 |
Moda Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,089.30 Typical High $2,454.71 | Professional | None | $1,548.82 | $2,089.30 | $2,454.71 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $1,659.59 Typical High $1,949.84 | Professional | None | $30.20 | $1,659.59 | $1,949.84 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,862.09 Median $2,884.03 Typical High $138,038.43 | Facility | None | $1,862.09 | $2,884.03 | $138,038.43 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,344.23 Median $2,884.03 Typical High $162,181.01 | Professional | None | $2,344.23 | $2,884.03 | $162,181.01 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,187.76 Median $2,238.72 Typical High $3,311.31 | Facility | None | $2,187.76 | $2,238.72 | $3,311.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $2,454.71 | Professional | None | $1,621.81 | $1,621.81 | $2,454.71 |
Select Health Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,951.21 | Facility | None | $2,344.23 | $2,344.23 | $2,951.21 |
Select Health Setting Professional Modifier None Typical Low $1,513.56 Median $2,344.23 Typical High $2,570.40 | Professional | None | $1,513.56 | $2,344.23 | $2,570.40 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $1,698.24 | Professional | None | $1,047.13 | $1,148.15 | $1,698.24 |
9 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 $776.25 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $776.25 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $309.03 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $229.09 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $199.53 Typical High $199.53 | Professional | 56 · Pre-op care only | $154.88 | $199.53 | $199.53 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,698.24 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,698.24 | $1,778.28 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $776.25 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $776.25 | $1,000.00 | $1,000.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $309.03 | $398.11 | $398.11 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $229.09 | $302.00 | $302.00 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $199.53 Typical High $199.53 | Professional | 56 · Pre-op care only | $154.88 | $199.53 | $199.53 |
Where Idaho sits
The same service costs 2.8 times more in Hawaii than in Arizona. 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· 14th of 51
$1,995
HI $3,388AZ $1,230
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.