How much rates vary
Facilitymedian $1,047 · 10th to 90th $631 to $1,738Professionalmedian $955 · 10th to 90th $479 to $1,380
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 $724.44 Median $954.99 Typical High $954.99 | Professional | None | $724.44 | $954.99 | $954.99 |
BCBS Idaho Setting Facility Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,737.80 | Facility | None | $794.33 | $1,047.13 | $1,737.80 |
BCBS Idaho Setting Professional Modifier None Typical Low $776.25 Median $1,148.15 Typical High $1,202.26 | Professional | None | $776.25 | $1,148.15 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $812.83 | Facility | None | $758.58 | $758.58 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None | $549.54 | $549.54 | $758.58 |
Moda Health Setting Facility Modifier None Typical Low $309.03 Median $954.99 Typical High $1,096.48 | Facility | None | $309.03 | $954.99 | $1,096.48 |
Moda Health Setting Professional Modifier None Typical Low $724.44 Median $1,000.00 Typical High $1,148.15 | Professional | None | $724.44 | $1,000.00 | $1,148.15 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $831.76 Typical High $954.99 | Professional | None | $30.20 | $831.76 | $954.99 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $776.25 Median $1,380.38 Typical High $66,069.34 | Facility | None | $776.25 | $1,380.38 | $66,069.34 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $77,624.71 | Professional | None | $1,096.48 | $1,380.38 | $77,624.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,023.29 Median $1,047.13 Typical High $1,584.89 | Facility | None | $1,023.29 | $1,047.13 | $1,584.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,148.15 | Professional | None | $776.25 | $776.25 | $1,148.15 |
Select Health Setting Facility Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,412.54 | Facility | None | $1,023.29 | $1,096.48 | $1,412.54 |
Select Health Setting Professional Modifier None Typical Low $707.95 Median $1,096.48 Typical High $1,202.26 | Professional | None | $707.95 | $1,096.48 | $1,202.26 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $645.65 | Facility | None | $575.44 | $575.44 | $645.65 |
United Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $724.44 | Professional | None | $446.68 | $478.63 | $724.44 |
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 $363.08 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $363.08 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $144.54 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $109.65 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $72.44 | $95.50 | $95.50 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $812.83 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $724.44 | $812.83 | $851.14 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $363.08 | $467.74 | $467.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $144.54 | $190.55 | $190.55 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $109.65 | $141.25 | $141.25 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $72.44 | $95.50 | $95.50 |
Where Idaho sits
The same service costs 2.6 times more in Hawaii than in Arizona. 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
$955
HI $1,445AZ $550
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.