How much rates vary
Facilitymedian $1,023 · 10th to 90th $692 to $1,778Professionalmedian $912 · 10th to 90th $513 to $1,318
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 $660.69 Median $912.01 Typical High $912.01 | Professional | None | $660.69 | $912.01 | $912.01 |
BCBS Idaho Setting Facility Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,778.28 | Facility | None | $758.58 | $1,023.29 | $1,778.28 |
BCBS Idaho Setting Professional Modifier None Typical Low $741.31 Median $1,122.02 Typical High $1,174.90 | Professional | None | $741.31 | $1,122.02 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $776.25 | Facility | None | $707.95 | $707.95 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $707.95 | Professional | None | $512.86 | $512.86 | $707.95 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $912.01 Typical High $1,071.52 | Facility | None | $331.13 | $912.01 | $1,071.52 |
Moda Health Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $1,122.02 | Professional | None | $707.95 | $912.01 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $758.58 Typical High $891.25 | Professional | None | $30.20 | $758.58 | $891.25 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $851.14 Median $1,318.26 Typical High $63,095.73 | Facility | None | $851.14 | $1,318.26 | $63,095.73 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $74,131.02 | Professional | None | $1,071.52 | $1,318.26 | $74,131.02 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,000.00 Median $1,023.29 Typical High $1,513.56 | Facility | None | $1,000.00 | $1,023.29 | $1,513.56 |
Regence BlueShield Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,122.02 | Professional | None | $741.31 | $741.31 | $1,122.02 |
Select Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,096.48 Typical High $2,041.74 | Facility | None | $1,071.52 | $1,096.48 | $2,041.74 |
Select Health Setting Professional Modifier None Typical Low $691.83 Median $1,071.52 Typical High $1,174.90 | Professional | None | $691.83 | $1,071.52 | $1,174.90 |
United Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $691.83 | Facility | None | $478.63 | $478.63 | $691.83 |
United Setting Professional Modifier None Typical Low $478.63 Median $512.86 Typical High $758.58 | Professional | None | $478.63 | $512.86 | $758.58 |
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 $354.81 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $354.81 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $141.25 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $138.04 Typical High $138.04 | Professional | 55 · Aftercare only | $104.71 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $70.79 | $91.20 | $91.20 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $776.25 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $691.83 | $776.25 | $812.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $354.81 | $457.09 | $457.09 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $141.25 | $181.97 | $181.97 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $138.04 Typical High $138.04 | Professional | 55 · Aftercare only | $104.71 | $138.04 | $138.04 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $70.79 | $91.20 | $91.20 |
Where Idaho sits
The same service costs 3.4 times more in Hawaii than in Mississippi. 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· 13th of 51
$912
HI $1,738MS $513
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.