How much rates vary
Facilitymedian $9,772 · 10th to 90th $6,457 to $16,218Professionalmedian $8,511 · 10th to 90th $4,571 to $12,882
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 $6,456.54 Median $8,511.38 Typical High $8,511.38 | Professional | None | $6,456.54 | $8,511.38 | $8,511.38 |
BCBS Idaho Setting Facility Modifier None Typical Low $7,244.36 Median $9,772.37 Typical High $16,218.10 | Facility | None | $7,244.36 | $9,772.37 | $16,218.10 |
BCBS Idaho Setting Professional Modifier None Typical Low $7,244.36 Median $10,715.19 Typical High $11,220.18 | Professional | None | $7,244.36 | $10,715.19 | $11,220.18 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $6,760.83 Median $7,585.78 Typical High $7,943.28 | Professional | 78 · Unplanned return to OR | $6,760.83 | $7,585.78 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,918.31 | Facility | None | $6,606.93 | $6,606.93 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $6,606.93 | Professional | None | $4,897.79 | $4,897.79 | $6,606.93 |
Moda Health Setting Facility Modifier None Typical Low $2,951.21 Median $8,511.38 Typical High $10,232.93 | Facility | None | $2,951.21 | $8,511.38 | $10,232.93 |
Moda Health Setting Professional Modifier None Typical Low $6,456.54 Median $9,120.11 Typical High $10,715.19 | Professional | None | $6,456.54 | $9,120.11 | $10,715.19 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $8,128.31 Median $12,882.50 Typical High $616,595.00 | Facility | None | $8,128.31 | $12,882.50 | $616,595.00 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $10,715.19 Median $12,882.50 Typical High $724,435.96 | Professional | None | $10,715.19 | $12,882.50 | $724,435.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,549.93 Median $9,772.37 Typical High $14,791.08 | Facility | None | $9,549.93 | $9,772.37 | $14,791.08 |
Regence BlueShield Setting Professional Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $10,715.19 | Professional | None | $7,244.36 | $7,244.36 | $10,715.19 |
Select Health Setting Facility Modifier None Typical Low $10,232.93 Median $10,232.93 Typical High $13,182.57 | Facility | None | $10,232.93 | $10,232.93 | $13,182.57 |
Select Health Setting Professional Modifier None Typical Low $6,606.93 Median $10,232.93 Typical High $11,220.18 | Professional | None | $6,606.93 | $10,232.93 | $11,220.18 |
United Setting Professional Modifier None Typical Low $4,265.80 Median $4,570.88 Typical High $7,079.46 | Professional | None | $4,265.80 | $4,570.88 | $7,079.46 |
4 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 $977.24 Median $1,258.93 Typical High $1,258.93 | Professional | 55 · Aftercare only | $977.24 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $645.65 Median $851.14 Typical High $851.14 | Professional | 56 · Pre-op care only | $645.65 | $851.14 | $851.14 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $977.24 Median $1,258.93 Typical High $1,258.93 | Professional | 55 · Aftercare only | $977.24 | $1,258.93 | $1,258.93 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $645.65 Median $851.14 Typical High $851.14 | Professional | 56 · Pre-op care only | $645.65 | $851.14 | $851.14 |
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· 11th of 51
$8,710
HI $11,220DE $4,898
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.