How much rates vary
Facilitymedian $603 · 10th to 90th $417 to $1,072Professionalmedian $550 · 10th to 90th $309 to $794
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 $416.87 Median $549.54 Typical High $549.54 | Professional | None | $416.87 | $549.54 | $549.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $501.19 Median $616.60 Typical High $1,071.52 | Facility | None | $501.19 | $616.60 | $1,071.52 |
BCBS Idaho Setting Professional Modifier None Typical Low $446.68 Median $676.08 Typical High $707.95 | Professional | None | $446.68 | $676.08 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $549.54 | Facility | None | $524.81 | $524.81 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $524.81 | Professional | None | $380.19 | $380.19 | $524.81 |
Moda Health Setting Facility Modifier None Typical Low $199.53 Median $549.54 Typical High $630.96 | Facility | None | $199.53 | $549.54 | $630.96 |
Moda Health Setting Professional Modifier None Typical Low $416.87 Median $549.54 Typical High $676.08 | Professional | None | $416.87 | $549.54 | $676.08 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $467.74 Typical High $549.54 | Professional | None | $30.20 | $467.74 | $549.54 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $36,307.81 | Facility | None | $501.19 | $794.33 | $36,307.81 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $44,668.36 | Professional | None | $676.08 | $794.33 | $44,668.36 |
Regence BlueShield Setting Facility Modifier None Typical Low $588.84 Median $616.60 Typical High $912.01 | Facility | None | $588.84 | $616.60 | $912.01 |
Regence BlueShield Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $676.08 | Professional | None | $446.68 | $446.68 | $676.08 |
Select Health Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $1,202.26 | Facility | None | $630.96 | $630.96 | $1,202.26 |
Select Health Setting Professional Modifier None Typical Low $416.87 Median $630.96 Typical High $691.83 | Professional | None | $416.87 | $630.96 | $691.83 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $416.87 | Facility | None | $389.05 | $389.05 | $416.87 |
United Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $467.74 | Professional | None | $288.40 | $309.03 | $467.74 |
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 $208.93 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $208.93 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $85.11 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $63.10 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $54.95 Typical High $54.95 | Professional | 56 · Pre-op care only | $41.69 | $54.95 | $54.95 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $467.74 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $416.87 | $467.74 | $489.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $208.93 | $275.42 | $275.42 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $85.11 | $109.65 | $109.65 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $63.10 | $81.28 | $81.28 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $54.95 Typical High $54.95 | Professional | 56 · Pre-op care only | $41.69 | $54.95 | $54.95 |
Where Idaho sits
The same service costs 2.8 times more in Hawaii than in Maryland. 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
$550
HI $977MD $355
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.