How much rates vary
Facilitymedian $501 · 10th to 90th $316 to $851Professionalmedian $457 · 10th to 90th $219 to $661
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 $295.12 Median $457.09 Typical High $457.09 | Professional | None | $295.12 | $457.09 | $457.09 |
BCBS Idaho Setting Facility Modifier None Typical Low $380.19 Median $512.86 Typical High $851.14 | Facility | None | $380.19 | $512.86 | $851.14 |
BCBS Idaho Setting Professional Modifier None Typical Low $371.54 Median $562.34 Typical High $588.84 | Professional | None | $371.54 | $562.34 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $371.54 | Facility | None | $346.74 | $346.74 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $346.74 | Professional | None | $251.19 | $251.19 | $346.74 |
Moda Health Setting Facility Modifier None Typical Low $141.25 Median $457.09 Typical High $537.03 | Facility | None | $141.25 | $457.09 | $537.03 |
Moda Health Setting Professional Modifier None Typical Low $354.81 Median $457.09 Typical High $562.34 | Professional | None | $354.81 | $457.09 | $562.34 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $398.11 Typical High $457.09 | Professional | None | $30.20 | $398.11 | $457.09 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $389.05 Median $660.69 Typical High $32,359.37 | Facility | None | $389.05 | $660.69 | $32,359.37 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $537.03 Median $660.69 Typical High $37,153.52 | Professional | None | $537.03 | $660.69 | $37,153.52 |
Regence BlueShield Setting Facility Modifier None Typical Low $501.19 Median $512.86 Typical High $758.58 | Facility | None | $501.19 | $512.86 | $758.58 |
Regence BlueShield Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $562.34 | Professional | None | $371.54 | $371.54 | $562.34 |
Select Health Setting Facility Modifier None Typical Low $501.19 Median $537.03 Typical High $691.83 | Facility | None | $501.19 | $537.03 | $691.83 |
Select Health Setting Professional Modifier None Typical Low $346.74 Median $537.03 Typical High $588.84 | Professional | None | $346.74 | $537.03 | $588.84 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $389.05 | Facility | None | $295.12 | $295.12 | $389.05 |
United Setting Professional Modifier None Typical Low $204.17 Median $218.78 Typical High $331.13 | Professional | None | $204.17 | $218.78 | $331.13 |
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 $177.83 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $177.83 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $70.79 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $52.48 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $35.48 | $45.71 | $45.71 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $389.05 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $346.74 | $389.05 | $407.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $177.83 | $229.09 | $229.09 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $70.79 | $91.20 | $91.20 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $52.48 | $69.18 | $69.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $35.48 | $45.71 | $45.71 |
Where Idaho sits
The same service costs 3.8 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· 9th of 51
$457
HI $912FL $240
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.