How much rates vary
Facilitymedian $692 · 10th to 90th $427 to $1,148Professionalmedian $589 · 10th to 90th $324 to $891
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 $457.09 Median $588.84 Typical High $588.84 | Professional | None | $457.09 | $588.84 | $588.84 |
BCBS Idaho Setting Facility Modifier None Typical Low $562.34 Median $691.83 Typical High $1,148.15 | Facility | None | $562.34 | $691.83 | $1,148.15 |
BCBS Idaho Setting Professional Modifier None Typical Low $501.19 Median $758.58 Typical High $794.33 | Professional | None | $501.19 | $758.58 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $512.86 | Facility | None | $489.78 | $489.78 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $489.78 | Professional | None | $354.81 | $354.81 | $489.78 |
Moda Health Setting Facility Modifier None Typical Low $208.93 Median $588.84 Typical High $707.95 | Facility | None | $208.93 | $588.84 | $707.95 |
Moda Health Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $758.58 | Professional | None | $457.09 | $645.65 | $758.58 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $512.86 Typical High $602.56 | Professional | None | $30.20 | $512.86 | $602.56 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $549.54 Median $891.25 Typical High $42,657.95 | Facility | None | $549.54 | $891.25 | $42,657.95 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $50,118.72 | Professional | None | $707.95 | $891.25 | $50,118.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $660.69 Median $691.83 Typical High $1,023.29 | Facility | None | $660.69 | $691.83 | $1,023.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $758.58 | Professional | None | $501.19 | $501.19 | $758.58 |
Select Health Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $912.01 | Facility | None | $707.95 | $707.95 | $912.01 |
Select Health Setting Professional Modifier None Typical Low $467.74 Median $707.95 Typical High $776.25 | Professional | None | $467.74 | $707.95 | $776.25 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $323.59 | Facility | None | $165.96 | $165.96 | $323.59 |
United Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $501.19 | Professional | None | $302.00 | $323.59 | $501.19 |
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 $229.09 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $229.09 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $91.20 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $67.61 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $45.71 | $58.88 | $58.88 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $524.81 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $467.74 | $524.81 | $549.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $229.09 | $295.12 | $295.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $91.20 | $117.49 | $117.49 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $67.61 | $89.13 | $89.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $45.71 | $58.88 | $58.88 |
Where Idaho sits
The same service costs 2.4 times more in Iowa than in Kansas. 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
$603
IA $776KS $324
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.