How much rates vary
Facilitymedian $490 · 10th to 90th $245 to $813Professionalmedian $447 · 10th to 90th $178 to $646
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 $338.84 Median $446.68 Typical High $446.68 | Professional | None | $338.84 | $446.68 | $446.68 |
BCBS Idaho Setting Facility Modifier None Typical Low $371.54 Median $489.78 Typical High $812.83 | Facility | None | $371.54 | $489.78 | $812.83 |
BCBS Idaho Setting Professional Modifier None Typical Low $363.08 Median $537.03 Typical High $562.34 | Professional | None | $363.08 | $537.03 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $257.04 | Facility | None | $245.47 | $245.47 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $245.47 | Professional | None | $177.83 | $177.83 | $245.47 |
Moda Health Setting Facility Modifier None Typical Low $125.89 Median $446.68 Typical High $512.86 | Facility | None | $125.89 | $446.68 | $512.86 |
Moda Health Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $537.03 | Professional | None | $338.84 | $467.74 | $537.03 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $389.05 Typical High $446.68 | Professional | None | $30.20 | $389.05 | $446.68 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $398.11 Median $645.65 Typical High $30,902.95 | Facility | None | $398.11 | $645.65 | $30,902.95 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $512.86 Median $645.65 Typical High $36,307.81 | Professional | None | $512.86 | $645.65 | $36,307.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $489.78 Typical High $741.31 | Facility | None | $478.63 | $489.78 | $741.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $537.03 | Professional | None | $363.08 | $363.08 | $537.03 |
Select Health Setting Facility Modifier None Typical Low $501.19 Median $512.86 Typical High $660.69 | Facility | None | $501.19 | $512.86 | $660.69 |
Select Health Setting Professional Modifier None Typical Low $331.13 Median $512.86 Typical High $562.34 | Professional | None | $331.13 | $512.86 | $562.34 |
United Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $204.17 | Facility | None | $147.91 | $147.91 | $204.17 |
United Setting Professional Modifier None Typical Low $177.83 Median $194.98 Typical High $295.12 | Professional | None | $177.83 | $194.98 | $295.12 |
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 $169.82 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $169.82 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $67.61 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $66.07 Typical High $66.07 | Professional | 55 · Aftercare only | $51.29 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $33.88 | $44.67 | $44.67 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $380.19 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $338.84 | $380.19 | $398.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $169.82 | $218.78 | $218.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $67.61 | $89.13 | $89.13 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $66.07 Typical High $66.07 | Professional | 55 · Aftercare only | $51.29 | $66.07 | $66.07 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $33.88 | $44.67 | $44.67 |
Where Idaho sits
The same service costs 2.9 times more in Montana 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· 6th of 51
$447
MT $513DE $178
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.