How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,820 to $6,310Professionalmedian $3,236 · 10th to 90th $1,318 to $4,898
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 $2,511.89 Median $3,235.94 Typical High $3,235.94 | Professional | None | $2,511.89 | $3,235.94 | $3,235.94 |
BCBS Idaho Setting Facility Modifier None Typical Low $3,090.30 Median $3,801.89 Typical High $6,309.57 | Facility | None | $3,090.30 | $3,801.89 | $6,309.57 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,754.23 Median $4,168.69 Typical High $4,365.16 | Professional | None | $2,754.23 | $4,168.69 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,995.26 | Facility | None | $1,819.70 | $1,819.70 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,318.26 | $1,819.70 |
Moda Health Setting Facility Modifier None Typical Low $933.25 Median $3,235.94 Typical High $3,981.07 | Facility | None | $933.25 | $3,235.94 | $3,981.07 |
Moda Health Setting Professional Modifier None Typical Low $2,511.89 Median $3,548.13 Typical High $4,168.69 | Professional | None | $2,511.89 | $3,548.13 | $4,168.69 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $2,884.03 Typical High $3,388.44 | Professional | None | $30.20 | $2,884.03 | $3,388.44 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $2,511.89 Median $4,897.79 Typical High $239,883.29 | Facility | None | $2,511.89 | $4,897.79 | $239,883.29 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,981.07 Median $4,897.79 Typical High $281,838.29 | Professional | None | $3,981.07 | $4,897.79 | $281,838.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,715.35 Median $3,801.89 Typical High $5,623.41 | Facility | None | $3,715.35 | $3,801.89 | $5,623.41 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $4,168.69 | Professional | None | $2,754.23 | $2,754.23 | $4,168.69 |
Select Health Setting Facility Modifier None Typical Low $3,630.78 Median $3,981.07 Typical High $5,128.61 | Facility | None | $3,630.78 | $3,981.07 | $5,128.61 |
Select Health Setting Professional Modifier None Typical Low $2,570.40 Median $3,981.07 Typical High $4,168.69 | Professional | None | $2,570.40 | $3,981.07 | $4,168.69 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,041.74 | Facility | None | $1,778.28 | $1,778.28 | $2,041.74 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,445.44 Typical High $2,238.72 | Professional | None | $1,348.96 | $1,445.44 | $2,238.72 |
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 $1,258.93 Median $1,621.81 Typical High $1,621.81 | Professional | 52 · Reduced service | $1,258.93 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $645.65 Typical High $645.65 | Professional | 53 · Discontinued | $501.19 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $489.78 Typical High $489.78 | Professional | 55 · Aftercare only | $380.19 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $323.59 Typical High $323.59 | Professional | 56 · Pre-op care only | $251.19 | $323.59 | $323.59 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,570.40 Median $2,884.03 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $2,570.40 | $2,884.03 | $3,019.95 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,258.93 Median $1,621.81 Typical High $1,621.81 | Professional | 52 · Reduced service | $1,258.93 | $1,621.81 | $1,621.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $645.65 Typical High $645.65 | Professional | 53 · Discontinued | $501.19 | $645.65 | $645.65 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $489.78 Typical High $489.78 | Professional | 55 · Aftercare only | $380.19 | $489.78 | $489.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $323.59 Typical High $323.59 | Professional | 56 · Pre-op care only | $251.19 | $323.59 | $323.59 |
Where Idaho sits
The same service costs 3.1 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
$3,236
HI $4,074DE $1,318
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.