How much rates vary
Facilitymedian $3,890 · 10th to 90th $2,291 to $6,607Professionalmedian $3,311 · 10th to 90th $1,660 to $5,012
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 $2,570.40 Median $3,311.31 Typical High $3,311.31 | Professional | None | $2,570.40 | $3,311.31 | $3,311.31 |
BCBS Idaho Setting Facility Modifier None Typical Low $3,162.28 Median $3,890.45 Typical High $6,606.93 | Facility | None | $3,162.28 | $3,890.45 | $6,606.93 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $4,466.84 | Professional | None | $2,818.38 | $4,265.80 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,511.89 | Facility | None | $2,290.87 | $2,290.87 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,659.59 | $2,290.87 |
Moda Health Setting Facility Modifier None Typical Low $1,174.90 Median $3,311.31 Typical High $4,073.80 | Facility | None | $1,174.90 | $3,311.31 | $4,073.80 |
Moda Health Setting Professional Modifier None Typical Low $2,570.40 Median $3,630.78 Typical High $4,265.80 | Professional | None | $2,570.40 | $3,630.78 | $4,265.80 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $2,884.03 Typical High $3,388.44 | Professional | None | $30.20 | $2,884.03 | $3,388.44 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $3,235.94 Median $5,011.87 Typical High $245,470.89 | Facility | None | $3,235.94 | $5,011.87 | $245,470.89 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $4,073.80 Median $5,011.87 Typical High $281,838.29 | Professional | None | $4,073.80 | $5,011.87 | $281,838.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,801.89 Median $3,890.45 Typical High $5,754.40 | Facility | None | $3,801.89 | $3,890.45 | $5,754.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $4,265.80 | Professional | None | $2,818.38 | $2,818.38 | $4,265.80 |
Select Health Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $5,248.07 | Facility | None | $4,073.80 | $4,073.80 | $5,248.07 |
Select Health Setting Professional Modifier None Typical Low $2,630.27 Median $4,073.80 Typical High $4,466.84 | Professional | None | $2,630.27 | $4,073.80 | $4,466.84 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $1,819.70 Typical High $2,818.38 | Professional | None | $1,698.24 | $1,819.70 | $2,818.38 |
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 $1,288.25 Median $1,659.59 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,288.25 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $660.69 Typical High $660.69 | Professional | 53 · Discontinued | $512.86 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $501.19 Typical High $501.19 | Professional | 55 · Aftercare only | $389.05 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $331.13 Typical High $331.13 | Professional | 56 · Pre-op care only | $257.04 | $331.13 | $331.13 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,630.27 Median $2,951.21 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $2,630.27 | $2,951.21 | $3,090.30 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,288.25 Median $1,659.59 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,288.25 | $1,659.59 | $1,659.59 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $660.69 Typical High $660.69 | Professional | 53 · Discontinued | $512.86 | $660.69 | $660.69 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $501.19 Typical High $501.19 | Professional | 55 · Aftercare only | $389.05 | $501.19 | $501.19 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $331.13 Typical High $331.13 | Professional | 56 · Pre-op care only | $257.04 | $331.13 | $331.13 |
Where Idaho sits
The same service costs 2.5 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· 14th of 51
$3,388
HI $4,365DE $1,738
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.