How much rates vary
Facilitymedian $813 · 10th to 90th $398 to $1,380Professionalmedian $708 · 10th to 90th $316 to $1,072
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 $549.54 Median $707.95 Typical High $707.95 | Professional | None | $549.54 | $707.95 | $707.95 |
BCBS Idaho Setting Facility Modifier None Typical Low $616.60 Median $831.76 Typical High $1,380.38 | Facility | None | $616.60 | $831.76 | $1,380.38 |
BCBS Idaho Setting Professional Modifier None Typical Low $602.56 Median $912.01 Typical High $954.99 | Professional | None | $602.56 | $912.01 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $549.54 | Facility | None | $524.81 | $524.81 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $524.81 | Professional | None | $389.05 | $389.05 | $524.81 |
Moda Health Setting Facility Modifier None Typical Low $204.17 Median $707.95 Typical High $870.96 | Facility | None | $204.17 | $707.95 | $870.96 |
Moda Health Setting Professional Modifier None Typical Low $549.54 Median $776.25 Typical High $912.01 | Professional | None | $549.54 | $776.25 | $912.01 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $616.60 Typical High $724.44 | Professional | None | $30.20 | $616.60 | $724.44 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $512.86 Median $1,071.52 Typical High $52,480.75 | Facility | None | $512.86 | $1,071.52 | $52,480.75 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $870.96 Median $1,071.52 Typical High $60,255.96 | Professional | None | $870.96 | $1,071.52 | $60,255.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $812.83 Median $831.76 Typical High $1,230.27 | Facility | None | $812.83 | $831.76 | $1,230.27 |
Regence BlueShield Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $912.01 | Professional | None | $602.56 | $602.56 | $912.01 |
Select Health Setting Facility Modifier None Typical Low $794.33 Median $870.96 Typical High $1,096.48 | Facility | None | $794.33 | $870.96 | $1,096.48 |
Select Health Setting Professional Modifier None Typical Low $562.34 Median $870.96 Typical High $870.96 | Professional | None | $562.34 | $870.96 | $870.96 |
United Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $380.19 | Facility | None | $302.00 | $302.00 | $380.19 |
United Setting Professional Modifier None Typical Low $295.12 Median $316.23 Typical High $489.78 | Professional | None | $295.12 | $316.23 | $489.78 |
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 $275.42 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $275.42 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $109.65 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $83.18 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $54.95 | $70.79 | $70.79 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $630.96 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $562.34 | $630.96 | $660.69 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $275.42 | $354.81 | $354.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $109.65 | $141.25 | $141.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $83.18 | $107.15 | $107.15 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $54.95 | $70.79 | $70.79 |
Where Idaho sits
The same service costs 2.3 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· 6th of 51
$708
HI $851PA $363
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.