How much rates vary
Facilitymedian $5,623 · 10th to 90th $3,548 to $9,333Professionalmedian $4,786 · 10th to 90th $2,291 to $7,244
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 $3,715.35 Median $4,786.30 Typical High $4,786.30 | Professional | None | $3,715.35 | $4,786.30 | $4,786.30 |
BCBS Idaho Setting Facility Modifier None Typical Low $4,168.69 Median $5,623.41 Typical High $9,332.54 | Facility | None | $4,168.69 | $5,623.41 | $9,332.54 |
BCBS Idaho Setting Professional Modifier None Typical Low $4,073.80 Median $6,165.95 Typical High $6,456.54 | Professional | None | $4,073.80 | $6,165.95 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,801.89 | Facility | None | $3,548.13 | $3,548.13 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,548.13 | Professional | None | $2,570.40 | $2,570.40 | $3,548.13 |
Moda Health Setting Facility Modifier None Typical Low $1,479.11 Median $4,786.30 Typical High $5,888.44 | Facility | None | $1,479.11 | $4,786.30 | $5,888.44 |
Moda Health Setting Professional Modifier None Typical Low $3,715.35 Median $5,248.07 Typical High $6,165.95 | Professional | None | $3,715.35 | $5,248.07 | $6,165.95 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $4,168.69 Typical High $4,897.79 | Professional | None | $30.20 | $4,168.69 | $4,897.79 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $4,677.35 Median $7,244.36 Typical High $346,736.85 | Facility | None | $4,677.35 | $7,244.36 | $346,736.85 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $5,888.44 Median $7,244.36 Typical High $407,380.28 | Professional | None | $5,888.44 | $7,244.36 | $407,380.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,370.32 Median $5,623.41 Typical High $8,317.64 | Facility | None | $5,370.32 | $5,623.41 | $8,317.64 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $6,165.95 | Professional | None | $4,073.80 | $4,073.80 | $6,165.95 |
Select Health Setting Facility Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $7,413.10 | Facility | None | $5,888.44 | $5,888.44 | $7,413.10 |
Select Health Setting Professional Modifier None Typical Low $3,801.89 Median $5,888.44 Typical High $6,309.57 | Professional | None | $3,801.89 | $5,888.44 | $6,309.57 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,890.45 | Facility | None | $3,019.95 | $3,019.95 | $3,890.45 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $2,290.87 Typical High $3,548.13 | Professional | None | $2,089.30 | $2,290.87 | $3,548.13 |
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 $1,862.09 Median $2,398.83 Typical High $2,398.83 | Professional | 52 · Reduced service | $1,862.09 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $741.31 Median $954.99 Typical High $954.99 | Professional | 53 · Discontinued | $741.31 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $562.34 Median $724.44 Typical High $724.44 | Professional | 55 · Aftercare only | $562.34 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $371.54 Median $478.63 Typical High $478.63 | Professional | 56 · Pre-op care only | $371.54 | $478.63 | $478.63 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,801.89 Median $4,265.80 Typical High $4,466.84 | Professional | 78 · Unplanned return to OR | $3,801.89 | $4,265.80 | $4,466.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,862.09 Median $2,398.83 Typical High $2,398.83 | Professional | 52 · Reduced service | $1,862.09 | $2,398.83 | $2,398.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $741.31 Median $954.99 Typical High $954.99 | Professional | 53 · Discontinued | $741.31 | $954.99 | $954.99 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $562.34 Median $724.44 Typical High $724.44 | Professional | 55 · Aftercare only | $562.34 | $724.44 | $724.44 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $371.54 Median $478.63 Typical High $478.63 | Professional | 56 · Pre-op care only | $371.54 | $478.63 | $478.63 |
Where Idaho sits
The same service costs 3.0 times more in Hawaii than in Pennsylvania. 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
$4,898
HI $7,413PA $2,455
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.