How much rates vary
Facilitymedian $1,778 · 10th to 90th $1,230 to $2,951Professionalmedian $1,549 · 10th to 90th $912 to $2,344
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 $1,202.26 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,202.26 | $1,548.82 | $1,548.82 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,348.96 Median $1,778.28 Typical High $2,951.21 | Facility | None | $1,348.96 | $1,778.28 | $2,951.21 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,318.26 Median $1,949.84 Typical High $2,041.74 | Professional | None | $1,318.26 | $1,949.84 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,513.56 | Facility | None | $1,412.54 | $1,412.54 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,412.54 | Professional | None | $1,023.29 | $1,023.29 | $1,412.54 |
Moda Health Setting Facility Modifier None Typical Low $588.84 Median $1,548.82 Typical High $1,862.09 | Facility | None | $588.84 | $1,548.82 | $1,862.09 |
Moda Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,778.28 Typical High $1,949.84 | Professional | None | $1,202.26 | $1,778.28 | $1,949.84 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $1,348.96 Typical High $1,584.89 | Professional | None | $30.20 | $1,348.96 | $1,584.89 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,621.81 Median $2,344.23 Typical High $112,201.85 | Facility | None | $1,621.81 | $2,344.23 | $112,201.85 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,862.09 Median $2,344.23 Typical High $131,825.67 | Professional | None | $1,862.09 | $2,344.23 | $131,825.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,737.80 Median $1,778.28 Typical High $2,691.53 | Facility | None | $1,737.80 | $1,778.28 | $2,691.53 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,949.84 | Professional | None | $1,318.26 | $1,318.26 | $1,949.84 |
Select Health Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,511.89 | Facility | None | $1,862.09 | $1,862.09 | $2,511.89 |
Select Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $2,041.74 | Professional | None | $1,230.27 | $1,862.09 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,318.26 | Facility | None | $1,230.27 | $1,230.27 | $1,318.26 |
United Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $1,412.54 | Professional | None | $851.14 | $912.01 | $1,412.54 |
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 $602.56 Median $776.25 Typical High $776.25 | Professional | 52 · Reduced service | $602.56 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $239.88 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $234.42 Typical High $234.42 | Professional | 55 · Aftercare only | $177.83 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $120.23 | $154.88 | $154.88 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,380.38 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,380.38 | $1,445.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $776.25 Typical High $776.25 | Professional | 52 · Reduced service | $602.56 | $776.25 | $776.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $239.88 | $309.03 | $309.03 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $234.42 Typical High $234.42 | Professional | 55 · Aftercare only | $177.83 | $234.42 | $234.42 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $120.23 | $154.88 | $154.88 |
Where Idaho sits
The same service costs 3.6 times more in Hawaii than in Washington, DC. 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· 13th of 51
$1,585
HI $3,548DC $977
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.