How much rates vary
Facilitymedian $813 · 10th to 90th $525 to $1,349Professionalmedian $724 · 10th to 90th $398 to $1,072
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 $501.19 Median $724.44 Typical High $724.44 | Professional | None | $501.19 | $724.44 | $724.44 |
BCBS Idaho Setting Facility Modifier None Typical Low $616.60 Median $812.83 Typical High $1,348.96 | Facility | None | $616.60 | $812.83 | $1,348.96 |
BCBS Idaho Setting Professional Modifier None Typical Low $588.84 Median $891.25 Typical High $933.25 | Professional | None | $588.84 | $891.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $575.44 | Facility | None | $549.54 | $549.54 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $549.54 | Professional | None | $398.11 | $398.11 | $549.54 |
Moda Health Setting Facility Modifier None Typical Low $257.04 Median $724.44 Typical High $851.14 | Facility | None | $257.04 | $724.44 | $851.14 |
Moda Health Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $891.25 | Professional | None | $562.34 | $724.44 | $891.25 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $616.60 Typical High $724.44 | Professional | None | $30.20 | $616.60 | $724.44 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $676.08 Median $1,071.52 Typical High $51,286.14 | Facility | None | $676.08 | $1,071.52 | $51,286.14 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $851.14 Median $1,071.52 Typical High $60,255.96 | Professional | None | $851.14 | $1,071.52 | $60,255.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $794.33 Median $812.83 Typical High $1,230.27 | Facility | None | $794.33 | $812.83 | $1,230.27 |
Regence BlueShield Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $891.25 | Professional | None | $588.84 | $588.84 | $891.25 |
Select Health Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $1,096.48 | Facility | None | $851.14 | $851.14 | $1,096.48 |
Select Health Setting Professional Modifier None Typical Low $549.54 Median $851.14 Typical High $933.25 | Professional | None | $549.54 | $851.14 | $933.25 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $436.52 | Facility | None | $331.13 | $331.13 | $436.52 |
United Setting Professional Modifier None Typical Low $371.54 Median $398.11 Typical High $588.84 | Professional | None | $371.54 | $398.11 | $588.84 |
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 $281.84 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $281.84 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $112.20 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $85.11 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $56.23 | $72.44 | $72.44 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $630.96 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $562.34 | $630.96 | $660.69 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $281.84 | $363.08 | $363.08 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $112.20 | $144.54 | $144.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $85.11 | $109.65 | $109.65 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $56.23 | $72.44 | $72.44 |
Where Idaho sits
The same service costs 2.4 times more in Iowa 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· 14th of 51
$724
IA $955DE $398
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.