How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,318 to $4,365Professionalmedian $2,344 · 10th to 90th $955 to $3,467
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 $1,621.81 Median $2,344.23 Typical High $2,344.23 | Professional | None | $1,621.81 | $2,344.23 | $2,344.23 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,949.84 Median $2,630.27 Typical High $4,365.16 | Facility | None | $1,949.84 | $2,630.27 | $4,365.16 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,905.46 Median $2,884.03 Typical High $3,019.95 | Professional | None | $1,905.46 | $2,884.03 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,445.44 | Facility | None | $1,318.26 | $1,318.26 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,318.26 | Professional | None | $954.99 | $954.99 | $1,318.26 |
Moda Health Setting Facility Modifier None Typical Low $676.08 Median $2,344.23 Typical High $2,754.23 | Facility | None | $676.08 | $2,344.23 | $2,754.23 |
Moda Health Setting Professional Modifier None Typical Low $1,819.70 Median $2,344.23 Typical High $2,884.03 | Professional | None | $1,819.70 | $2,344.23 | $2,884.03 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $2,041.74 Typical High $2,344.23 | Professional | None | $30.20 | $2,041.74 | $2,344.23 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,862.09 Median $3,467.37 Typical High $165,958.69 | Facility | None | $1,862.09 | $3,467.37 | $165,958.69 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,754.23 Median $3,467.37 Typical High $194,984.46 | Professional | None | $2,754.23 | $3,467.37 | $194,984.46 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,570.40 Median $2,630.27 Typical High $3,981.07 | Facility | None | $2,570.40 | $2,630.27 | $3,981.07 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,884.03 | Professional | None | $1,905.46 | $1,905.46 | $2,884.03 |
Select Health Setting Facility Modifier None Typical Low $2,570.40 Median $2,754.23 Typical High $3,548.13 | Facility | None | $2,570.40 | $2,754.23 | $3,548.13 |
Select Health Setting Professional Modifier None Typical Low $1,778.28 Median $2,754.23 Typical High $3,019.95 | Professional | None | $1,778.28 | $2,754.23 | $3,019.95 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,258.93 | Facility | None | $1,122.02 | $1,122.02 | $1,258.93 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $1,548.82 | Professional | None | $954.99 | $1,047.13 | $1,548.82 |
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 $912.01 Median $1,174.90 Typical High $1,174.90 | Professional | 52 · Reduced service | $912.01 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $467.74 Typical High $467.74 | Professional | 53 · Discontinued | $363.08 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $354.81 Typical High $354.81 | Professional | 55 · Aftercare only | $275.42 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $234.42 Typical High $234.42 | Professional | 56 · Pre-op care only | $181.97 | $234.42 | $234.42 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $2,041.74 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,819.70 | $2,041.74 | $2,137.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $912.01 Median $1,174.90 Typical High $1,174.90 | Professional | 52 · Reduced service | $912.01 | $1,174.90 | $1,174.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $467.74 Typical High $467.74 | Professional | 53 · Discontinued | $363.08 | $467.74 | $467.74 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $354.81 Typical High $354.81 | Professional | 55 · Aftercare only | $275.42 | $354.81 | $354.81 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $234.42 Typical High $234.42 | Professional | 56 · Pre-op care only | $181.97 | $234.42 | $234.42 |
Where Idaho sits
The same service costs 2.9 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
$2,344
HI $2,754DE $955
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.