How much rates vary
Facilitymedian $891 · 10th to 90th $603 to $1,514Professionalmedian $776 · 10th to 90th $380 to $1,175
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 $602.56 Median $776.25 Typical High $776.25 | Professional | None | $602.56 | $776.25 | $776.25 |
BCBS Idaho Setting Facility Modifier None Typical Low $724.44 Median $891.25 Typical High $1,513.56 | Facility | None | $724.44 | $891.25 | $1,513.56 |
BCBS Idaho Setting Professional Modifier None Typical Low $660.69 Median $977.24 Typical High $1,023.29 | Professional | None | $660.69 | $977.24 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $691.83 | Facility | None | $660.69 | $660.69 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $660.69 | Professional | None | $489.78 | $489.78 | $660.69 |
Moda Health Setting Facility Modifier None Typical Low $245.47 Median $776.25 Typical High $933.25 | Facility | None | $245.47 | $776.25 | $933.25 |
Moda Health Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $977.24 | Professional | None | $602.56 | $851.14 | $977.24 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $676.08 Typical High $794.33 | Professional | None | $30.20 | $676.08 | $794.33 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $741.31 Median $1,174.90 Typical High $56,234.13 | Facility | None | $741.31 | $1,174.90 | $56,234.13 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $933.25 Median $1,174.90 Typical High $66,069.34 | Professional | None | $933.25 | $1,174.90 | $66,069.34 |
Regence BlueShield Setting Facility Modifier None Typical Low $870.96 Median $891.25 Typical High $1,348.96 | Facility | None | $870.96 | $891.25 | $1,348.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $977.24 | Professional | None | $660.69 | $660.69 | $977.24 |
Select Health Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $1,202.26 | Facility | None | $933.25 | $933.25 | $1,202.26 |
Select Health Setting Professional Modifier None Typical Low $602.56 Median $933.25 Typical High $1,023.29 | Professional | None | $602.56 | $933.25 | $1,023.29 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $549.54 | Facility | None | $501.19 | $501.19 | $549.54 |
United Setting Professional Modifier None Typical Low $354.81 Median $380.19 Typical High $588.84 | Professional | None | $354.81 | $380.19 | $588.84 |
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 $295.12 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $295.12 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $120.23 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $89.13 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $60.26 | $77.62 | $77.62 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $691.83 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $616.60 | $691.83 | $724.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $295.12 | $389.05 | $389.05 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $120.23 | $154.88 | $154.88 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $89.13 | $114.82 | $114.82 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $60.26 | $77.62 | $77.62 |
Where Idaho sits
The same service costs 4.1 times more in Hawaii than in Kansas. 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· 10th of 51
$794
HI $1,380KS $339
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.