How much rates vary
Facilitymedian $85 · 10th to 90th $46 to $148Professionalmedian $78 · 10th to 90th $33 to $112
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 Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $77.62 Typical High $77.62 | Professional | None | $41.69 | $77.62 | $77.62 |
BCBS Idaho Setting Facility Modifier None Typical Low $64.57 Median $85.11 Typical High $147.91 | Facility | None | $64.57 | $85.11 | $147.91 |
BCBS Idaho Setting Professional Modifier None Typical Low $63.10 Median $93.33 Typical High $97.72 | Professional | None | $63.10 | $93.33 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $50.12 | Facility | None | $45.71 | $45.71 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $45.71 | Professional | None | $33.11 | $33.11 | $45.71 |
Moda Health Setting Facility Modifier None Typical Low $21.38 Median $77.62 Typical High $89.13 | Facility | None | $21.38 | $77.62 | $89.13 |
Moda Health Setting Professional Modifier None Typical Low $57.54 Median $85.11 Typical High $93.33 | Professional | None | $57.54 | $85.11 | $93.33 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $64.57 Typical High $75.86 | Professional | None | $30.20 | $64.57 | $75.86 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $53.70 Median $112.20 Typical High $5,370.32 | Facility | None | $53.70 | $112.20 | $5,370.32 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $6,309.57 | Professional | None | $89.13 | $112.20 | $6,309.57 |
Regence BlueShield Setting Facility Modifier None Typical Low $83.18 Median $85.11 Typical High $128.82 | Facility | None | $83.18 | $85.11 | $128.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $93.33 | Professional | None | $63.10 | $63.10 | $93.33 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $89.13 Typical High $117.49 | Facility | None | $85.11 | $89.13 | $117.49 |
Select Health Setting Professional Modifier None Typical Low $58.88 Median $89.13 Typical High $89.13 | Professional | None | $58.88 | $89.13 | $89.13 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $52.48 | Facility | None | $43.65 | $43.65 | $52.48 |
United Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $48.98 | Professional | None | $30.20 | $33.11 | $48.98 |
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 $28.84 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $28.84 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $11.48 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $11.48 Typical High $11.48 | Professional | 55 · Aftercare only | $8.71 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $7.76 Typical High $7.76 | Professional | 56 · Pre-op care only | $5.75 | $7.76 | $7.76 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $58.88 Median $66.07 Typical High $69.18 | Professional | 78 · Unplanned return to OR | $58.88 | $66.07 | $69.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $29.51 | $38.90 | $38.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $12.02 | $15.49 | $15.49 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $11.48 Typical High $11.48 | Professional | 55 · Aftercare only | $8.91 | $11.48 | $11.48 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $7.76 Typical High $7.76 | Professional | 56 · Pre-op care only | $5.89 | $7.76 | $7.76 |
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· 3rd of 51
$77.62
HI $126FL $33.11
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.