How much rates vary
Facilitymedian $69 · 10th to 90th $39 to $117Professionalmedian $63 · 10th to 90th $29 to $91
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 $47.86 Median $63.10 Typical High $63.10 | Professional | None | $47.86 | $63.10 | $63.10 |
BCBS Idaho Setting Facility Modifier None Typical Low $56.23 Median $69.18 Typical High $117.49 | Facility | None | $56.23 | $69.18 | $117.49 |
BCBS Idaho Setting Professional Modifier None Typical Low $51.29 Median $75.86 Typical High $79.43 | Professional | None | $51.29 | $75.86 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $43.65 | Facility | None | $38.90 | $38.90 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $38.90 | Professional | None | $28.84 | $28.84 | $38.90 |
Moda Health Setting Facility Modifier None Typical Low $17.38 Median $63.10 Typical High $69.18 | Facility | None | $17.38 | $63.10 | $69.18 |
Moda Health Setting Professional Modifier None Typical Low $47.86 Median $63.10 Typical High $75.86 | Professional | None | $47.86 | $63.10 | $75.86 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $54.95 Typical High $63.10 | Professional | None | $30.20 | $54.95 | $63.10 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $57.54 Median $91.20 Typical High $4,365.16 | Facility | None | $57.54 | $91.20 | $4,365.16 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $72.44 Median $91.20 Typical High $5,128.61 | Professional | None | $72.44 | $91.20 | $5,128.61 |
Regence BlueShield Setting Facility Modifier None Typical Low $67.61 Median $69.18 Typical High $104.71 | Facility | None | $67.61 | $69.18 | $104.71 |
Regence BlueShield Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $75.86 | Professional | None | $51.29 | $51.29 | $75.86 |
Select Health Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $93.33 | Facility | None | $72.44 | $72.44 | $93.33 |
Select Health Setting Professional Modifier None Typical Low $47.86 Median $72.44 Typical High $79.43 | Professional | None | $47.86 | $72.44 | $79.43 |
United Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $51.29 | Facility | None | $35.48 | $35.48 | $51.29 |
United Setting Professional Modifier None Typical Low $24.55 Median $26.92 Typical High $39.81 | Professional | None | $24.55 | $26.92 | $39.81 |
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 $23.99 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $23.99 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $9.55 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $9.33 Typical High $9.33 | Professional | 55 · Aftercare only | $7.24 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $6.31 Typical High $6.31 | Professional | 56 · Pre-op care only | $4.79 | $6.31 | $6.31 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $47.86 Median $53.70 Typical High $56.23 | Professional | 78 · Unplanned return to OR | $47.86 | $53.70 | $56.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $23.99 | $31.62 | $31.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $9.55 | $12.59 | $12.59 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $9.33 Typical High $9.33 | Professional | 55 · Aftercare only | $7.24 | $9.33 | $9.33 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $6.31 Typical High $6.31 | Professional | 56 · Pre-op care only | $4.79 | $6.31 | $6.31 |
Where Idaho sits
The same service costs 4.7 times more in Hawaii than in Florida. 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· 6th of 51
$63.10
HI $132FL $28.18
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.