How much rates vary
Facilitymedian $1,230 · 10th to 90th $724 to $2,089Professionalmedian $1,072 · 10th to 90th $525 to $1,622
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 $1,000.00 Median $1,230.27 Typical High $2,089.30 | Facility | None | $1,000.00 | $1,230.27 | $2,089.30 |
BCBS Idaho Setting Professional Modifier None Typical Low $912.01 Median $1,348.96 Typical High $1,412.54 | Professional | None | $912.01 | $1,348.96 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $794.33 | Facility | None | $724.44 | $724.44 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $724.44 | Professional | None | $524.81 | $524.81 | $724.44 |
Moda Health Setting Facility Modifier None Typical Low $371.54 Median $1,071.52 Typical High $1,288.25 | Facility | None | $371.54 | $1,071.52 | $1,288.25 |
Moda Health Setting Professional Modifier None Typical Low $831.76 Median $1,148.15 Typical High $1,348.96 | Professional | None | $831.76 | $1,148.15 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $933.25 Typical High $1,096.48 | Professional | None | $30.20 | $933.25 | $1,096.48 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $77,624.71 | Facility | None | $1,023.29 | $1,621.81 | $77,624.71 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $91,201.08 | Professional | None | $1,348.96 | $1,621.81 | $91,201.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,202.26 Median $1,230.27 Typical High $1,862.09 | Facility | None | $1,202.26 | $1,230.27 | $1,862.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,348.96 | Professional | None | $912.01 | $912.01 | $1,348.96 |
Select Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,659.59 | Facility | None | $1,288.25 | $1,288.25 | $1,659.59 |
Select Health Setting Professional Modifier None Typical Low $831.76 Median $1,288.25 Typical High $1,412.54 | Professional | None | $831.76 | $1,288.25 | $1,412.54 |
United Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $891.25 | Professional | None | $537.03 | $575.44 | $891.25 |
5 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 55 · Aftercare only Typical Low $123.03 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $123.03 | $158.49 | $158.49 |
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 $954.99 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $851.14 | $954.99 | $1,000.00 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $123.03 | $158.49 | $158.49 |
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 2.4 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· 13th of 51
$1,096
HI $1,349DE $562
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.