How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,549 to $5,129Professionalmedian $2,692 · 10th to 90th $1,122 to $4,074
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 $2,089.30 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,089.30 | $2,691.53 | $2,691.53 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,511.89 Median $3,090.30 Typical High $5,128.61 | Facility | None | $2,511.89 | $3,090.30 | $5,128.61 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,290.87 Median $3,388.44 Typical High $3,548.13 | Professional | None | $2,290.87 | $3,388.44 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,659.59 | Facility | None | $1,548.82 | $1,548.82 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,122.02 | $1,548.82 |
Moda Health Setting Facility Modifier None Typical Low $794.33 Median $2,691.53 Typical High $3,235.94 | Facility | None | $794.33 | $2,691.53 | $3,235.94 |
Moda Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,951.21 Typical High $3,388.44 | Professional | None | $2,089.30 | $2,951.21 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $2,344.23 Typical High $2,754.23 | Professional | None | $30.20 | $2,344.23 | $2,754.23 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $2,570.40 Median $4,073.80 Typical High $194,984.46 | Facility | None | $2,570.40 | $4,073.80 | $194,984.46 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,235.94 Median $4,073.80 Typical High $229,086.77 | Professional | None | $3,235.94 | $4,073.80 | $229,086.77 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,019.95 Median $3,090.30 Typical High $4,677.35 | Facility | None | $3,019.95 | $3,090.30 | $4,677.35 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $3,388.44 | Professional | None | $2,290.87 | $2,290.87 | $3,388.44 |
Select Health Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $4,168.69 | Facility | None | $3,235.94 | $3,235.94 | $4,168.69 |
Select Health Setting Professional Modifier None Typical Low $2,137.96 Median $3,235.94 Typical High $3,548.13 | Professional | None | $2,137.96 | $3,235.94 | $3,548.13 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,698.24 | Facility | None | $1,479.11 | $1,479.11 | $1,698.24 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,230.27 Typical High $1,905.46 | Professional | None | $1,148.15 | $1,230.27 | $1,905.46 |
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 $1,047.13 Median $1,348.96 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,047.13 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $416.87 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $398.11 Typical High $398.11 | Professional | 55 · Aftercare only | $309.03 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $269.15 Typical High $269.15 | Professional | 56 · Pre-op care only | $208.93 | $269.15 | $269.15 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,137.96 Median $2,398.83 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $2,137.96 | $2,398.83 | $2,511.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,047.13 Median $1,348.96 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,047.13 | $1,348.96 | $1,348.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $416.87 | $537.03 | $537.03 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $398.11 Typical High $398.11 | Professional | 55 · Aftercare only | $309.03 | $398.11 | $398.11 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $269.15 Typical High $269.15 | Professional | 56 · Pre-op care only | $208.93 | $269.15 | $269.15 |
Where Idaho sits
The same service costs 3.0 times more in Iowa 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
$2,754
IA $3,311DE $1,122
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.