How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,549 to $4,169Professionalmedian $2,239 · 10th to 90th $1,122 to $3,311
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 $1,737.80 Median $2,238.72 Typical High $2,238.72 | Professional | None | $1,737.80 | $2,238.72 | $2,238.72 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,862.09 Median $2,511.89 Typical High $4,168.69 | Facility | None | $1,862.09 | $2,511.89 | $4,168.69 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,819.70 Median $2,754.23 Typical High $2,884.03 | Professional | None | $1,819.70 | $2,754.23 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,659.59 | Facility | None | $1,548.82 | $1,548.82 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,122.02 | $1,548.82 |
Moda Health Setting Facility Modifier None Typical Low $758.58 Median $2,238.72 Typical High $2,630.27 | Facility | None | $758.58 | $2,238.72 | $2,630.27 |
Moda Health Setting Professional Modifier None Typical Low $1,737.80 Median $2,344.23 Typical High $2,754.23 | Professional | None | $1,737.80 | $2,344.23 | $2,754.23 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $1,905.46 Typical High $2,238.72 | Professional | None | $30.20 | $1,905.46 | $2,238.72 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $2,089.30 Median $3,311.31 Typical High $158,489.32 | Facility | None | $2,089.30 | $3,311.31 | $158,489.32 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,754.23 Median $3,311.31 Typical High $186,208.71 | Professional | None | $2,754.23 | $3,311.31 | $186,208.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $3,801.89 | Facility | None | $2,454.71 | $2,511.89 | $3,801.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,754.23 | Professional | None | $1,819.70 | $1,819.70 | $2,754.23 |
Select Health Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,388.44 | Facility | None | $2,630.27 | $2,630.27 | $3,388.44 |
Select Health Setting Professional Modifier None Typical Low $1,698.24 Median $2,630.27 Typical High $2,884.03 | Professional | None | $1,698.24 | $2,630.27 | $2,884.03 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,659.59 | Facility | None | $1,584.89 | $1,584.89 | $1,659.59 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,174.90 Typical High $1,737.80 | Professional | None | $1,096.48 | $1,174.90 | $1,737.80 |
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 $870.96 Median $1,122.02 Typical High $1,122.02 | Professional | 52 · Reduced service | $870.96 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $446.68 Typical High $446.68 | Professional | 53 · Discontinued | $346.74 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $338.84 Typical High $338.84 | Professional | 55 · Aftercare only | $263.03 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $223.87 Typical High $223.87 | Professional | 56 · Pre-op care only | $173.78 | $223.87 | $223.87 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $1,949.84 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,698.24 | $1,949.84 | $2,041.74 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $870.96 Median $1,122.02 Typical High $1,122.02 | Professional | 52 · Reduced service | $870.96 | $1,122.02 | $1,122.02 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $446.68 Typical High $446.68 | Professional | 53 · Discontinued | $346.74 | $446.68 | $446.68 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $338.84 Typical High $338.84 | Professional | 55 · Aftercare only | $263.03 | $338.84 | $338.84 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $223.87 Typical High $223.87 | Professional | 56 · Pre-op care only | $173.78 | $223.87 | $223.87 |
Where Idaho sits
The same service costs 3.1 times more in Hawaii than in Delaware. 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
$2,239
HI $3,467DE $1,122
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.