How much rates vary
Facilitymedian $1,349 · 10th to 90th $912 to $2,239Professionalmedian $1,148 · 10th to 90th $692 to $1,738
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 $891.25 Median $1,148.15 Typical High $1,148.15 | Professional | None | $891.25 | $1,148.15 | $1,148.15 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $2,238.72 | Facility | None | $1,071.52 | $1,348.96 | $2,238.72 |
BCBS Idaho Setting Professional Modifier None Typical Low $977.24 Median $1,479.11 Typical High $1,548.82 | Professional | None | $977.24 | $1,479.11 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,122.02 | Facility | None | $1,047.13 | $1,047.13 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,047.13 | Professional | None | $758.58 | $758.58 | $1,047.13 |
Moda Health Setting Facility Modifier None Typical Low $446.68 Median $1,148.15 Typical High $1,412.54 | Facility | None | $446.68 | $1,148.15 | $1,412.54 |
Moda Health Setting Professional Modifier None Typical Low $891.25 Median $1,258.93 Typical High $1,479.11 | Professional | None | $891.25 | $1,258.93 | $1,479.11 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $1,000.00 Typical High $1,174.90 | Professional | None | $30.20 | $1,000.00 | $1,174.90 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,122.02 Median $1,737.80 Typical High $83,176.38 | Facility | None | $1,122.02 | $1,737.80 | $83,176.38 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,479.11 Median $1,737.80 Typical High $97,723.72 | Professional | None | $1,479.11 | $1,737.80 | $97,723.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,318.26 Median $1,348.96 Typical High $1,995.26 | Facility | None | $1,318.26 | $1,348.96 | $1,995.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,479.11 | Professional | None | $977.24 | $977.24 | $1,479.11 |
Select Health Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,778.28 | Facility | None | $1,412.54 | $1,412.54 | $1,778.28 |
Select Health Setting Professional Modifier None Typical Low $912.01 Median $1,412.54 Typical High $1,548.82 | Professional | None | $912.01 | $1,412.54 | $1,548.82 |
United Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,000.00 | Facility | None | $912.01 | $912.01 | $1,000.00 |
United Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $1,047.13 | Professional | None | $630.96 | $691.83 | $1,047.13 |
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 $446.68 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $446.68 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $177.83 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $134.90 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $89.13 | $114.82 | $114.82 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,023.29 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $912.01 | $1,023.29 | $1,071.52 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $446.68 | $575.44 | $575.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $177.83 | $229.09 | $229.09 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $134.90 | $173.78 | $173.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $89.13 | $114.82 | $114.82 |
Where Idaho sits
The same service costs 3.1 times more in Hawaii than in Pennsylvania. 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· 14th of 51
$1,175
HI $2,344PA $759
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.