How much rates vary
Facilitymedian $1,413 · 10th to 90th $871 to $2,344Professionalmedian $1,288 · 10th to 90th $646 to $1,862
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 $977.24 Median $1,288.25 Typical High $1,288.25 | Professional | None | $977.24 | $1,288.25 | $1,288.25 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $2,344.23 | Facility | None | $1,071.52 | $1,412.54 | $2,344.23 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,047.13 Median $1,548.82 Typical High $1,621.81 | Professional | None | $1,047.13 | $1,548.82 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $977.24 | Facility | None | $891.25 | $891.25 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Moda Health Setting Facility Modifier None Typical Low $446.68 Median $1,288.25 Typical High $1,479.11 | Facility | None | $446.68 | $1,288.25 | $1,479.11 |
Moda Health Setting Professional Modifier None Typical Low $977.24 Median $1,348.96 Typical High $1,548.82 | Professional | None | $977.24 | $1,348.96 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $1,122.02 Typical High $1,288.25 | Professional | None | $30.20 | $1,122.02 | $1,288.25 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $89,125.09 | Facility | None | $1,202.26 | $1,862.09 | $89,125.09 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,479.11 Median $1,862.09 Typical High $104,712.85 | Professional | None | $1,479.11 | $1,862.09 | $104,712.85 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,380.38 Median $1,412.54 Typical High $2,137.96 | Facility | None | $1,380.38 | $1,412.54 | $2,137.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,548.82 | Professional | None | $1,047.13 | $1,047.13 | $1,548.82 |
Select Health Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,905.46 | Facility | None | $1,479.11 | $1,479.11 | $1,905.46 |
Select Health Setting Professional Modifier None Typical Low $977.24 Median $1,479.11 Typical High $1,621.81 | Professional | None | $977.24 | $1,479.11 | $1,621.81 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $870.96 | Facility | None | $851.14 | $851.14 | $870.96 |
United Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $1,023.29 | Professional | None | $630.96 | $691.83 | $1,023.29 |
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 $489.78 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $489.78 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $199.53 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $147.91 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $97.72 | $128.82 | $128.82 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,096.48 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $977.24 | $1,096.48 | $1,148.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $489.78 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $489.78 | $645.65 | $645.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $199.53 | $257.04 | $257.04 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $147.91 | $190.55 | $190.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $97.72 | $128.82 | $128.82 |
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· 12th of 51
$1,288
HI $1,905DE $646
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.