How much rates vary
Facilitymedian $490 · 10th to 90th $269 to $813Professionalmedian $427 · 10th to 90th $200 to $646
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 $331.13 Median $426.58 Typical High $426.58 | Professional | None | $331.13 | $426.58 | $426.58 |
BCBS Idaho Setting Facility Modifier None Typical Low $371.54 Median $489.78 Typical High $812.83 | Facility | None | $371.54 | $489.78 | $812.83 |
BCBS Idaho Setting Professional Modifier None Typical Low $363.08 Median $537.03 Typical High $562.34 | Professional | None | $363.08 | $537.03 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $302.00 | Facility | None | $269.15 | $269.15 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $269.15 | Professional | None | $199.53 | $199.53 | $269.15 |
Moda Health Setting Facility Modifier None Typical Low $141.25 Median $426.58 Typical High $512.86 | Facility | None | $141.25 | $426.58 | $512.86 |
Moda Health Setting Professional Modifier None Typical Low $331.13 Median $467.74 Typical High $537.03 | Professional | None | $331.13 | $467.74 | $537.03 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $371.54 Typical High $436.52 | Professional | None | $30.20 | $371.54 | $436.52 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $416.87 Median $645.65 Typical High $30,902.95 | Facility | None | $416.87 | $645.65 | $30,902.95 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $512.86 Median $645.65 Typical High $36,307.81 | Professional | None | $512.86 | $645.65 | $36,307.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $489.78 Typical High $741.31 | Facility | None | $478.63 | $489.78 | $741.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $537.03 | Professional | None | $363.08 | $363.08 | $537.03 |
Select Health Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $660.69 | Facility | None | $512.86 | $512.86 | $660.69 |
Select Health Setting Professional Modifier None Typical Low $338.84 Median $512.86 Typical High $562.34 | Professional | None | $338.84 | $512.86 | $562.34 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $288.40 | Facility | None | $281.84 | $281.84 | $288.40 |
United Setting Professional Modifier None Typical Low $199.53 Median $218.78 Typical High $331.13 | Professional | None | $199.53 | $218.78 | $331.13 |
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 $165.96 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $165.96 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $66.07 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $48.98 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $33.11 | $42.66 | $42.66 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $380.19 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $338.84 | $380.19 | $398.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $165.96 | $213.80 | $213.80 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $66.07 | $85.11 | $85.11 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $48.98 | $64.57 | $64.57 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $33.11 | $42.66 | $42.66 |
Where Idaho sits
The same service costs 3.3 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
$437
HI $661DE $200
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.