How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,622 to $4,677Professionalmedian $2,399 · 10th to 90th $1,230 to $3,631
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 $1,862.09 Median $2,398.83 Typical High $2,398.83 | Professional | None | $1,862.09 | $2,398.83 | $2,398.83 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,290.87 Median $2,818.38 Typical High $4,677.35 | Facility | None | $2,290.87 | $2,818.38 | $4,677.35 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,041.74 Median $3,090.30 Typical High $3,235.94 | Professional | None | $2,041.74 | $3,090.30 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,905.46 | Facility | None | $1,778.28 | $1,778.28 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,778.28 | Professional | None | $1,318.26 | $1,318.26 | $1,778.28 |
Moda Health Setting Facility Modifier None Typical Low $794.33 Median $2,398.83 Typical High $2,951.21 | Facility | None | $794.33 | $2,398.83 | $2,951.21 |
Moda Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,630.27 Typical High $3,090.30 | Professional | None | $1,862.09 | $2,630.27 | $3,090.30 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $2,089.30 Typical High $2,454.71 | Professional | None | $30.20 | $2,089.30 | $2,454.71 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $2,041.74 Median $3,630.78 Typical High $173,780.08 | Facility | None | $2,041.74 | $3,630.78 | $173,780.08 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,951.21 Median $3,630.78 Typical High $204,173.79 | Professional | None | $2,951.21 | $3,630.78 | $204,173.79 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,754.23 Median $2,818.38 Typical High $4,168.69 | Facility | None | $2,754.23 | $2,818.38 | $4,168.69 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $3,090.30 | Professional | None | $2,041.74 | $2,041.74 | $3,090.30 |
Select Health Setting Facility Modifier None Typical Low $2,691.53 Median $2,951.21 Typical High $3,715.35 | Facility | None | $2,691.53 | $2,951.21 | $3,715.35 |
Select Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,951.21 Typical High $3,162.28 | Professional | None | $1,905.46 | $2,951.21 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,621.81 | Facility | None | $1,445.44 | $1,445.44 | $1,621.81 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $1,862.09 | Professional | None | $1,122.02 | $1,230.27 | $1,862.09 |
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 $933.25 Median $1,202.26 Typical High $1,202.26 | Professional | 52 · Reduced service | $933.25 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $478.63 Typical High $478.63 | Professional | 53 · Discontinued | $371.54 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $363.08 Typical High $363.08 | Professional | 55 · Aftercare only | $281.84 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $239.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $186.21 | $239.88 | $239.88 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $2,137.96 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $1,905.46 | $2,137.96 | $2,238.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $933.25 Median $1,202.26 Typical High $1,202.26 | Professional | 52 · Reduced service | $933.25 | $1,202.26 | $1,202.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $478.63 Typical High $478.63 | Professional | 53 · Discontinued | $371.54 | $478.63 | $478.63 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $363.08 Typical High $363.08 | Professional | 55 · Aftercare only | $281.84 | $363.08 | $363.08 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $239.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $186.21 | $239.88 | $239.88 |
Where Idaho sits
The same service costs 2.8 times more in Hawaii than in Washington, DC. 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
$2,455
HI $3,715DC $1,318
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.