How much rates vary
Facilitymedian $1,698 · 10th to 90th $832 to $2,818Professionalmedian $1,549 · 10th to 90th $603 to $2,239
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 $1,148.15 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,148.15 | $1,548.82 | $1,548.82 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,288.25 Median $1,698.24 Typical High $2,818.38 | Facility | None | $1,288.25 | $1,698.24 | $2,818.38 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,258.93 Median $1,862.09 Typical High $1,949.84 | Professional | None | $1,258.93 | $1,862.09 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $912.01 | Facility | None | $831.76 | $831.76 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $831.76 | Professional | None | $602.56 | $602.56 | $831.76 |
Moda Health Setting Facility Modifier None Typical Low $426.58 Median $1,548.82 Typical High $1,778.28 | Facility | None | $426.58 | $1,548.82 | $1,778.28 |
Moda Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $1,862.09 | Professional | None | $1,174.90 | $1,621.81 | $1,862.09 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $1,348.96 Typical High $1,548.82 | Professional | None | $30.20 | $1,348.96 | $1,548.82 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,071.52 Median $2,238.72 Typical High $107,151.93 | Facility | None | $1,071.52 | $2,238.72 | $107,151.93 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,778.28 Median $2,238.72 Typical High $125,892.54 | Professional | None | $1,778.28 | $2,238.72 | $125,892.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,659.59 Median $1,698.24 Typical High $2,570.40 | Facility | None | $1,659.59 | $1,698.24 | $2,570.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,862.09 | Professional | None | $1,258.93 | $1,258.93 | $1,862.09 |
Select Health Setting Facility Modifier None Typical Low $1,659.59 Median $1,778.28 Typical High $2,290.87 | Facility | None | $1,659.59 | $1,778.28 | $2,290.87 |
Select Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,174.90 | $1,778.28 | $1,778.28 |
United Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $1,348.96 | Facility | None | $870.96 | $870.96 | $1,348.96 |
United Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $977.24 | Professional | None | $602.56 | $660.69 | $977.24 |
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 $575.44 Median $776.25 Typical High $776.25 | Professional | 52 · Reduced service | $575.44 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $229.09 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $173.78 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $114.82 | $154.88 | $154.88 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,318.26 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,318.26 | $1,380.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $776.25 Typical High $776.25 | Professional | 52 · Reduced service | $588.84 | $776.25 | $776.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $234.42 | $309.03 | $309.03 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $177.83 | $229.09 | $229.09 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $117.49 | $154.88 | $154.88 |
Where Idaho sits
The same service costs 5.4 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· 3rd of 51
$1,549
HI $3,236DE $603
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.