How much rates vary
Facilitymedian $912 · 10th to 90th $447 to $1,549Professionalmedian $794 · 10th to 90th $331 to $1,202
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 $616.60 Median $794.33 Typical High $794.33 | Professional | None | $616.60 | $794.33 | $794.33 |
BCBS Idaho Setting Facility Modifier None Typical Low $741.31 Median $912.01 Typical High $1,548.82 | Facility | None | $741.31 | $912.01 | $1,548.82 |
BCBS Idaho Setting Professional Modifier None Typical Low $676.08 Median $1,000.00 Typical High $1,047.13 | Professional | None | $676.08 | $1,000.00 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $501.19 | Facility | None | $446.68 | $446.68 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $446.68 | Professional | None | $331.13 | $331.13 | $446.68 |
Moda Health Setting Facility Modifier None Typical Low $229.09 Median $794.33 Typical High $954.99 | Facility | None | $229.09 | $794.33 | $954.99 |
Moda Health Setting Professional Modifier None Typical Low $616.60 Median $870.96 Typical High $1,000.00 | Professional | None | $616.60 | $870.96 | $1,000.00 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $691.83 Typical High $812.83 | Professional | None | $30.20 | $691.83 | $812.83 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $724.44 Median $1,202.26 Typical High $57,543.99 | Facility | None | $724.44 | $1,202.26 | $57,543.99 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $67,608.30 | Professional | None | $954.99 | $1,202.26 | $67,608.30 |
Regence BlueShield Setting Facility Modifier None Typical Low $891.25 Median $912.01 Typical High $1,380.38 | Facility | None | $891.25 | $912.01 | $1,380.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,000.00 | Professional | None | $676.08 | $676.08 | $1,000.00 |
Select Health Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $1,230.27 | Facility | None | $912.01 | $954.99 | $1,230.27 |
Select Health Setting Professional Modifier None Typical Low $616.60 Median $954.99 Typical High $1,047.13 | Professional | None | $616.60 | $954.99 | $1,047.13 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $537.03 | Professional | None | $323.59 | $354.81 | $537.03 |
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 $309.03 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $309.03 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $123.03 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $91.20 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $61.66 | $79.43 | $79.43 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $707.95 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $630.96 | $707.95 | $741.31 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $309.03 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $309.03 | $398.11 | $398.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $123.03 | $158.49 | $158.49 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $91.20 | $117.49 | $117.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $61.66 | $79.43 | $79.43 |
Where Idaho sits
The same service costs 2.8 times more in Iowa 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· 9th of 51
$794
IA $933DE $331
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.