How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,698 to $5,370Professionalmedian $2,818 · 10th to 90th $1,259 to $4,266
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 $2,187.76 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,187.76 | $2,818.38 | $2,818.38 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,454.71 Median $3,311.31 Typical High $5,370.32 | Facility | None | $2,454.71 | $3,311.31 | $5,370.32 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,398.83 Median $3,630.78 Typical High $3,801.89 | Professional | None | $2,398.83 | $3,630.78 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,949.84 | Facility | None | $1,737.80 | $1,737.80 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,737.80 | Professional | None | $1,258.93 | $1,258.93 | $1,737.80 |
Moda Health Setting Facility Modifier None Typical Low $891.25 Median $2,818.38 Typical High $3,388.44 | Facility | None | $891.25 | $2,818.38 | $3,388.44 |
Moda Health Setting Professional Modifier None Typical Low $2,187.76 Median $3,090.30 Typical High $3,630.78 | Professional | None | $2,187.76 | $3,090.30 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $2,454.71 Typical High $2,884.03 | Professional | None | $30.20 | $2,454.71 | $2,884.03 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $2,238.72 Median $4,265.80 Typical High $204,173.79 | Facility | None | $2,238.72 | $4,265.80 | $204,173.79 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,388.44 Median $4,265.80 Typical High $239,883.29 | Professional | None | $3,388.44 | $4,265.80 | $239,883.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,162.28 Median $3,311.31 Typical High $4,897.79 | Facility | None | $3,162.28 | $3,311.31 | $4,897.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $3,630.78 | Professional | None | $2,398.83 | $2,398.83 | $3,630.78 |
Select Health Setting Facility Modifier None Typical Low $3,162.28 Median $3,388.44 Typical High $4,365.16 | Facility | None | $3,162.28 | $3,388.44 | $4,365.16 |
Select Health Setting Professional Modifier None Typical Low $2,238.72 Median $3,388.44 Typical High $3,715.35 | Professional | None | $2,238.72 | $3,388.44 | $3,715.35 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,621.81 | Facility | None | $1,445.44 | $1,445.44 | $1,621.81 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,380.38 Typical High $2,137.96 | Professional | None | $1,288.25 | $1,380.38 | $2,137.96 |
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 $1,096.48 Median $1,412.54 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,096.48 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $562.34 Typical High $562.34 | Professional | 53 · Discontinued | $436.52 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $426.58 Typical High $426.58 | Professional | 55 · Aftercare only | $323.59 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $281.84 Typical High $281.84 | Professional | 56 · Pre-op care only | $218.78 | $281.84 | $281.84 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,238.72 Median $2,511.89 Typical High $2,630.27 | Professional | 78 · Unplanned return to OR | $2,238.72 | $2,511.89 | $2,630.27 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,096.48 Median $1,412.54 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,096.48 | $1,412.54 | $1,412.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $562.34 Typical High $562.34 | Professional | 53 · Discontinued | $436.52 | $562.34 | $562.34 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $426.58 Typical High $426.58 | Professional | 55 · Aftercare only | $323.59 | $426.58 | $426.58 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $281.84 Typical High $281.84 | Professional | 56 · Pre-op care only | $218.78 | $281.84 | $281.84 |
Where Idaho sits
The same service costs 2.7 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
$2,818
HI $3,388DE $1,259
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.