How much rates vary
Facilitymedian $1,259 · 10th to 90th $813 to $2,089Professionalmedian $1,072 · 10th to 90th $646 to $1,660
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 $831.76 Median $1,071.52 Typical High $1,071.52 | Professional | None | $831.76 | $1,071.52 | $1,071.52 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $2,089.30 | Facility | None | $1,023.29 | $1,258.93 | $2,089.30 |
BCBS Idaho Setting Professional Modifier None Typical Low $912.01 Median $1,380.38 Typical High $1,445.44 | Professional | None | $912.01 | $1,380.38 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $954.99 | Facility | None | $912.01 | $912.01 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
Moda Health Setting Facility Modifier None Typical Low $416.87 Median $1,071.52 Typical High $1,318.26 | Facility | None | $416.87 | $1,071.52 | $1,318.26 |
Moda Health Setting Professional Modifier None Typical Low $831.76 Median $1,174.90 Typical High $1,380.38 | Professional | None | $831.76 | $1,174.90 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $954.99 Typical High $1,122.02 | Professional | None | $30.20 | $954.99 | $1,122.02 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,047.13 Median $1,659.59 Typical High $79,432.82 | Facility | None | $1,047.13 | $1,659.59 | $79,432.82 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $93,325.43 | Professional | None | $1,318.26 | $1,659.59 | $93,325.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,230.27 Median $1,258.93 Typical High $1,905.46 | Facility | None | $1,230.27 | $1,258.93 | $1,905.46 |
Regence BlueShield Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,380.38 | Professional | None | $912.01 | $912.01 | $1,380.38 |
Select Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,698.24 | Facility | None | $1,318.26 | $1,318.26 | $1,698.24 |
Select Health Setting Professional Modifier None Typical Low $851.14 Median $1,318.26 Typical High $1,445.44 | Professional | None | $851.14 | $1,318.26 | $1,445.44 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $676.08 | Facility | None | $575.44 | $575.44 | $676.08 |
United Setting Professional Modifier None Typical Low $588.84 Median $645.65 Typical High $1,000.00 | Professional | None | $588.84 | $645.65 | $1,000.00 |
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 $416.87 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $416.87 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $165.96 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $125.89 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $83.18 | $107.15 | $107.15 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $977.24 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $851.14 | $977.24 | $1,023.29 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $416.87 | $537.03 | $537.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $165.96 | $218.78 | $218.78 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $125.89 | $162.18 | $162.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $83.18 | $107.15 | $107.15 |
Where Idaho sits
The same service costs 2.3 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· 14th of 51
$1,122
HI $1,514DE $661
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.