How much rates vary
Facilitymedian $891 · 10th to 90th $513 to $1,514Professionalmedian $813 · 10th to 90th $372 to $1,175
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 $630.96 Median $812.83 Typical High $812.83 | Professional | None | $630.96 | $812.83 | $812.83 |
BCBS Idaho Setting Facility Modifier None Typical Low $676.08 Median $912.01 Typical High $1,513.56 | Facility | None | $676.08 | $912.01 | $1,513.56 |
BCBS Idaho Setting Professional Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,047.13 | Professional | None | $660.69 | $1,000.00 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $562.34 | Facility | None | $512.86 | $512.86 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $512.86 | Professional | None | $371.54 | $371.54 | $512.86 |
Moda Health Setting Facility Modifier None Typical Low $263.03 Median $812.83 Typical High $954.99 | Facility | None | $263.03 | $812.83 | $954.99 |
Moda Health Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $1,000.00 | Professional | None | $630.96 | $851.14 | $1,000.00 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $707.95 Typical High $812.83 | Professional | None | $30.20 | $707.95 | $812.83 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $660.69 Median $1,174.90 Typical High $57,543.99 | Facility | None | $660.69 | $1,174.90 | $57,543.99 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $954.99 Median $1,174.90 Typical High $67,608.30 | Professional | None | $954.99 | $1,174.90 | $67,608.30 |
Regence BlueShield Setting Facility Modifier None Typical Low $891.25 Median $912.01 Typical High $1,348.96 | Facility | None | $891.25 | $912.01 | $1,348.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $1,000.00 | Professional | None | $660.69 | $660.69 | $1,000.00 |
Select Health Setting Facility Modifier None Typical Low $870.96 Median $954.99 Typical High $1,230.27 | Facility | None | $870.96 | $954.99 | $1,230.27 |
Select Health Setting Professional Modifier None Typical Low $616.60 Median $954.99 Typical High $1,047.13 | Professional | None | $616.60 | $954.99 | $1,047.13 |
United Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $549.54 | Facility | None | $478.63 | $478.63 | $549.54 |
United Setting Professional Modifier None Typical Low $380.19 Median $407.38 Typical High $602.56 | Professional | None | $380.19 | $407.38 | $602.56 |
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 $316.23 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $316.23 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $125.89 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $93.33 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $63.10 | $81.28 | $81.28 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $691.83 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $616.60 | $691.83 | $724.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $316.23 | $407.38 | $407.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $125.89 | $162.18 | $162.18 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $93.33 | $123.03 | $123.03 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $63.10 | $81.28 | $81.28 |
Where Idaho sits
The same service costs 3.2 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· 10th of 51
$813
HI $1,202DE $372
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.