How much rates vary
Facilitymedian $1,318 · 10th to 90th $851 to $2,188Professionalmedian $1,175 · 10th to 90th $617 to $1,738
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 $912.01 Median $1,174.90 Typical High $1,174.90 | Professional | None | $912.01 | $1,174.90 | $1,174.90 |
BCBS Idaho Setting Facility Modifier None Typical Low $977.24 Median $1,318.26 Typical High $2,187.76 | Facility | None | $977.24 | $1,318.26 | $2,187.76 |
BCBS Idaho Setting Professional Modifier None Typical Low $954.99 Median $1,445.44 Typical High $1,513.56 | Professional | None | $954.99 | $1,445.44 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $912.01 | Facility | None | $851.14 | $851.14 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $851.14 | Professional | None | $616.60 | $616.60 | $851.14 |
Moda Health Setting Facility Modifier None Typical Low $436.52 Median $1,174.90 Typical High $1,380.38 | Facility | None | $436.52 | $1,174.90 | $1,380.38 |
Moda Health Setting Professional Modifier None Typical Low $912.01 Median $1,230.27 Typical High $1,445.44 | Professional | None | $912.01 | $1,230.27 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $1,023.29 Typical High $1,174.90 | Professional | None | $30.20 | $1,023.29 | $1,174.90 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $83,176.38 | Facility | None | $1,096.48 | $1,737.80 | $83,176.38 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,445.44 Median $1,737.80 Typical High $97,723.72 | Professional | None | $1,445.44 | $1,737.80 | $97,723.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,288.25 Median $1,318.26 Typical High $1,995.26 | Facility | None | $1,288.25 | $1,318.26 | $1,995.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,445.44 | Professional | None | $954.99 | $954.99 | $1,445.44 |
Select Health Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,778.28 | Facility | None | $1,380.38 | $1,380.38 | $1,778.28 |
Select Health Setting Professional Modifier None Typical Low $891.25 Median $1,380.38 Typical High $1,513.56 | Professional | None | $891.25 | $1,380.38 | $1,513.56 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $776.25 | Facility | None | $630.96 | $630.96 | $776.25 |
United Setting Professional Modifier None Typical Low $616.60 Median $676.08 Typical High $1,000.00 | Professional | None | $616.60 | $676.08 | $1,000.00 |
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 $457.09 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $457.09 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $181.97 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $138.04 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $91.20 | $117.49 | $117.49 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,000.00 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $891.25 | $1,000.00 | $1,071.52 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $457.09 | $588.84 | $588.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $181.97 | $234.42 | $234.42 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $138.04 | $177.83 | $177.83 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $91.20 | $117.49 | $117.49 |
Where Idaho sits
The same service costs 3.0 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· 13th of 51
$1,175
HI $1,820DE $617
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.