How much rates vary
Facilitymedian $2,884 · 10th to 90th $1,514 to $4,786Professionalmedian $2,512 · 10th to 90th $1,148 to $3,802
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 $1,905.46 Median $2,511.89 Typical High $2,511.89 | Professional | None | $1,905.46 | $2,511.89 | $2,511.89 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,137.96 Median $2,884.03 Typical High $4,786.30 | Facility | None | $2,137.96 | $2,884.03 | $4,786.30 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,089.30 Median $3,162.28 Typical High $3,311.31 | Professional | None | $2,089.30 | $3,162.28 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,819.70 | Facility | None | $1,659.59 | $1,659.59 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,659.59 | Professional | None | $1,202.26 | $1,202.26 | $1,659.59 |
Moda Health Setting Facility Modifier None Typical Low $741.31 Median $2,511.89 Typical High $3,019.95 | Facility | None | $741.31 | $2,511.89 | $3,019.95 |
Moda Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,691.53 Typical High $3,162.28 | Professional | None | $1,905.46 | $2,691.53 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $2,187.76 Typical High $2,570.40 | Professional | None | $30.20 | $2,187.76 | $2,570.40 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,819.70 Median $3,801.89 Typical High $181,970.09 | Facility | None | $1,819.70 | $3,801.89 | $181,970.09 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,019.95 Median $3,801.89 Typical High $213,796.21 | Professional | None | $3,019.95 | $3,801.89 | $213,796.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,818.38 Median $2,884.03 Typical High $4,365.16 | Facility | None | $2,818.38 | $2,884.03 | $4,365.16 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $3,162.28 | Professional | None | $2,089.30 | $2,089.30 | $3,162.28 |
Select Health Setting Facility Modifier None Typical Low $2,754.23 Median $3,019.95 Typical High $3,890.45 | Facility | None | $2,754.23 | $3,019.95 | $3,890.45 |
Select Health Setting Professional Modifier None Typical Low $1,949.84 Median $3,019.95 Typical High $3,019.95 | Professional | None | $1,949.84 | $3,019.95 | $3,019.95 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,513.56 | Facility | None | $1,202.26 | $1,202.26 | $1,513.56 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $1,737.80 | Professional | None | $1,047.13 | $1,148.15 | $1,737.80 |
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 $954.99 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $954.99 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $380.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $288.40 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $251.19 Typical High $251.19 | Professional | 56 · Pre-op care only | $190.55 | $251.19 | $251.19 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,995.26 Median $2,238.72 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,995.26 | $2,238.72 | $2,344.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $954.99 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $954.99 | $1,230.27 | $1,230.27 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $380.19 | $501.19 | $501.19 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $288.40 | $371.54 | $371.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $251.19 Typical High $251.19 | Professional | 56 · Pre-op care only | $190.55 | $251.19 | $251.19 |
Where Idaho sits
The same service costs 3.5 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· 5th of 51
$2,512
HI $4,169DE $1,202
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.