How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,778 to $5,754Professionalmedian $3,020 · 10th to 90th $1,288 to $4,571
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 $2,344.23 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,344.23 | $3,019.95 | $3,019.95 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,630.27 Median $3,548.13 Typical High $5,754.40 | Facility | None | $2,630.27 | $3,548.13 | $5,754.40 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,570.40 Median $3,890.45 Typical High $4,073.80 | Professional | None | $2,570.40 | $3,890.45 | $4,073.80 |
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 $1,288.25 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,288.25 | $1,778.28 |
Moda Health Setting Facility Modifier None Typical Low $912.01 Median $3,019.95 Typical High $3,630.78 | Facility | None | $912.01 | $3,019.95 | $3,630.78 |
Moda Health Setting Professional Modifier None Typical Low $2,344.23 Median $3,311.31 Typical High $3,890.45 | Professional | None | $2,344.23 | $3,311.31 | $3,890.45 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $2,630.27 Typical High $3,090.30 | Professional | None | $30.20 | $2,630.27 | $3,090.30 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $2,511.89 Median $4,570.88 Typical High $218,776.16 | Facility | None | $2,511.89 | $4,570.88 | $218,776.16 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,630.78 Median $4,570.88 Typical High $257,039.58 | Professional | None | $3,630.78 | $4,570.88 | $257,039.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,388.44 Median $3,548.13 Typical High $5,248.07 | Facility | None | $3,388.44 | $3,548.13 | $5,248.07 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,890.45 | Professional | None | $2,570.40 | $2,570.40 | $3,890.45 |
Select Health Setting Facility Modifier None Typical Low $3,388.44 Median $3,630.78 Typical High $4,677.35 | Facility | None | $3,388.44 | $3,630.78 | $4,677.35 |
Select Health Setting Professional Modifier None Typical Low $2,398.83 Median $3,630.78 Typical High $3,981.07 | Professional | None | $2,398.83 | $3,630.78 | $3,981.07 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,862.09 | Facility | None | $1,621.81 | $1,621.81 | $1,862.09 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,412.54 Typical High $2,187.76 | Professional | None | $1,318.26 | $1,412.54 | $2,187.76 |
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 $1,174.90 Median $1,513.56 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,174.90 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $602.56 Typical High $602.56 | Professional | 53 · Discontinued | $467.74 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $457.09 Typical High $457.09 | Professional | 55 · Aftercare only | $354.81 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $302.00 Typical High $302.00 | Professional | 56 · Pre-op care only | $234.42 | $302.00 | $302.00 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,398.83 Median $2,691.53 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $2,398.83 | $2,691.53 | $2,818.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,174.90 Median $1,513.56 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,174.90 | $1,513.56 | $1,513.56 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $602.56 Typical High $602.56 | Professional | 53 · Discontinued | $467.74 | $602.56 | $602.56 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $457.09 Typical High $457.09 | Professional | 55 · Aftercare only | $354.81 | $457.09 | $457.09 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $302.00 Typical High $302.00 | Professional | 56 · Pre-op care only | $234.42 | $302.00 | $302.00 |
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· 10th of 51
$3,090
HI $4,169DE $1,288
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.