How much rates vary
Facilitymedian $2,138 · 10th to 90th $1,175 to $3,631Professionalmedian $1,950 · 10th to 90th $851 to $2,818
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 $1,513.56 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,513.56 | $1,949.84 | $1,949.84 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,737.80 Median $2,187.76 Typical High $3,630.78 | Facility | None | $1,737.80 | $2,187.76 | $3,630.78 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,584.89 Median $2,398.83 Typical High $2,511.89 | Professional | None | $1,584.89 | $2,398.83 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,258.93 | Facility | None | $1,174.90 | $1,174.90 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,174.90 | Professional | None | $851.14 | $851.14 | $1,174.90 |
Moda Health Setting Facility Modifier None Typical Low $602.56 Median $1,949.84 Typical High $2,290.87 | Facility | None | $602.56 | $1,949.84 | $2,290.87 |
Moda Health Setting Professional Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $2,398.83 | Professional | None | $1,513.56 | $2,041.74 | $2,398.83 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $1,698.24 Typical High $1,949.84 | Professional | None | $30.20 | $1,698.24 | $1,949.84 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,513.56 Median $2,818.38 Typical High $134,896.29 | Facility | None | $1,513.56 | $2,818.38 | $134,896.29 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,290.87 Median $2,818.38 Typical High $158,489.32 | Professional | None | $2,290.87 | $2,818.38 | $158,489.32 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,137.96 Median $2,187.76 Typical High $3,235.94 | Facility | None | $2,137.96 | $2,187.76 | $3,235.94 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,398.83 | Professional | None | $1,584.89 | $1,584.89 | $2,398.83 |
Select Health Setting Facility Modifier None Typical Low $2,089.30 Median $2,290.87 Typical High $2,884.03 | Facility | None | $2,089.30 | $2,290.87 | $2,884.03 |
Select Health Setting Professional Modifier None Typical Low $1,479.11 Median $2,290.87 Typical High $2,511.89 | Professional | None | $1,479.11 | $2,290.87 | $2,511.89 |
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 $870.96 Median $933.25 Typical High $1,380.38 | Professional | None | $870.96 | $933.25 | $1,380.38 |
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 $758.58 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $758.58 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $302.00 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $295.12 Typical High $295.12 | Professional | 55 · Aftercare only | $223.87 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $194.98 Typical High $194.98 | Professional | 56 · Pre-op care only | $151.36 | $194.98 | $194.98 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,659.59 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,659.59 | $1,737.80 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $758.58 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $758.58 | $977.24 | $977.24 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $302.00 | $389.05 | $389.05 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $295.12 Typical High $295.12 | Professional | 55 · Aftercare only | $223.87 | $295.12 | $295.12 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $194.98 Typical High $194.98 | Professional | 56 · Pre-op care only | $151.36 | $194.98 | $194.98 |
Where Idaho sits
The same service costs 3.3 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
$1,950
HI $2,818DE $851
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.