How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,413 to $4,169Professionalmedian $2,188 · 10th to 90th $1,047 to $3,311
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 $1,698.24 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,698.24 | $2,187.76 | $2,187.76 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,089.30 Median $2,570.40 Typical High $4,168.69 | Facility | None | $2,089.30 | $2,570.40 | $4,168.69 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,862.09 Median $2,818.38 Typical High $2,951.21 | Professional | None | $1,862.09 | $2,818.38 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,513.56 | Facility | None | $1,412.54 | $1,412.54 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,412.54 | Professional | None | $1,047.13 | $1,047.13 | $1,412.54 |
Moda Health Setting Facility Modifier None Typical Low $741.31 Median $2,187.76 Typical High $2,630.27 | Facility | None | $741.31 | $2,187.76 | $2,630.27 |
Moda Health Setting Professional Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $2,818.38 | Professional | None | $1,698.24 | $2,398.83 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $1,905.46 Typical High $2,238.72 | Professional | None | $30.20 | $1,905.46 | $2,238.72 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,995.26 Median $3,311.31 Typical High $158,489.32 | Facility | None | $1,995.26 | $3,311.31 | $158,489.32 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,630.27 Median $3,311.31 Typical High $186,208.71 | Professional | None | $2,630.27 | $3,311.31 | $186,208.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,454.71 Median $2,570.40 Typical High $3,801.89 | Facility | None | $2,454.71 | $2,570.40 | $3,801.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,818.38 | Professional | None | $1,862.09 | $1,862.09 | $2,818.38 |
Select Health Setting Facility Modifier None Typical Low $2,511.89 Median $2,630.27 Typical High $3,388.44 | Facility | None | $2,511.89 | $2,630.27 | $3,388.44 |
Select Health Setting Professional Modifier None Typical Low $1,737.80 Median $2,630.27 Typical High $2,884.03 | Professional | None | $1,737.80 | $2,630.27 | $2,884.03 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,513.56 | Facility | None | $1,348.96 | $1,348.96 | $1,513.56 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $1,737.80 | Professional | None | $1,047.13 | $1,148.15 | $1,737.80 |
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 $851.14 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $851.14 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $436.52 Typical High $436.52 | Professional | 53 · Discontinued | $338.84 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $331.13 Typical High $331.13 | Professional | 55 · Aftercare only | $251.19 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $169.82 | $218.78 | $218.78 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $1,949.84 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,737.80 | $1,949.84 | $2,041.74 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $851.14 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $851.14 | $1,096.48 | $1,096.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $436.52 Typical High $436.52 | Professional | 53 · Discontinued | $338.84 | $436.52 | $436.52 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $331.13 Typical High $331.13 | Professional | 55 · Aftercare only | $251.19 | $331.13 | $331.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $169.82 | $218.78 | $218.78 |
Where Idaho sits
The same service costs 3.2 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
$2,239
HI $3,388DE $1,047
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.