How much rates vary
Facilitymedian $1,549 · 10th to 90th $891 to $2,570Professionalmedian $1,413 · 10th to 90th $646 to $2,042
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 $1,071.52 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,071.52 | $1,412.54 | $1,412.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $2,570.40 | Facility | None | $1,288.25 | $1,584.89 | $2,570.40 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,148.15 Median $1,737.80 Typical High $1,819.70 | Professional | None | $1,148.15 | $1,737.80 | $1,819.70 |
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 $457.09 Median $1,412.54 Typical High $1,621.81 | Facility | None | $457.09 | $1,412.54 | $1,621.81 |
Moda Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,479.11 Typical High $1,737.80 | Professional | None | $1,071.52 | $1,479.11 | $1,737.80 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $1,174.90 Typical High $1,380.38 | Professional | None | $30.20 | $1,174.90 | $1,380.38 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,148.15 Median $2,041.74 Typical High $97,723.72 | Facility | None | $1,148.15 | $2,041.74 | $97,723.72 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,621.81 Median $2,041.74 Typical High $114,815.36 | Professional | None | $1,621.81 | $2,041.74 | $114,815.36 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,513.56 Median $1,584.89 Typical High $2,344.23 | Facility | None | $1,513.56 | $1,584.89 | $2,344.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,737.80 | Professional | None | $1,148.15 | $1,148.15 | $1,737.80 |
Select Health Setting Facility Modifier None Typical Low $1,513.56 Median $1,621.81 Typical High $2,089.30 | Facility | None | $1,513.56 | $1,621.81 | $2,089.30 |
Select Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,621.81 Typical High $1,778.28 | Professional | None | $1,071.52 | $1,621.81 | $1,778.28 |
United Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $870.96 | Facility | None | $707.95 | $707.95 | $870.96 |
United Setting Professional Modifier None Typical Low $660.69 Median $707.95 Typical High $1,047.13 | Professional | None | $660.69 | $707.95 | $1,047.13 |
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 $537.03 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $537.03 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $218.78 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $162.18 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $107.15 | $141.25 | $141.25 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,202.26 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,202.26 | $1,258.93 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $537.03 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $537.03 | $707.95 | $707.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $218.78 | $281.84 | $281.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $162.18 | $208.93 | $208.93 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $107.15 | $141.25 | $141.25 |
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· 7th of 51
$1,413
HI $1,950DE $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.