How much rates vary
Facilitymedian $1,072 · 10th to 90th $537 to $1,778Professionalmedian $933 · 10th to 90th $407 to $1,413
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 $707.95 Median $933.25 Typical High $933.25 | Professional | None | $707.95 | $933.25 | $933.25 |
BCBS Idaho Setting Facility Modifier None Typical Low $794.33 Median $1,071.52 Typical High $1,778.28 | Facility | None | $794.33 | $1,071.52 | $1,778.28 |
BCBS Idaho Setting Professional Modifier None Typical Low $794.33 Median $1,174.90 Typical High $1,230.27 | Professional | None | $794.33 | $1,174.90 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $724.44 | Facility | None | $691.83 | $691.83 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $691.83 | Professional | None | $512.86 | $512.86 | $691.83 |
Moda Health Setting Facility Modifier None Typical Low $263.03 Median $933.25 Typical High $1,122.02 | Facility | None | $263.03 | $933.25 | $1,122.02 |
Moda Health Setting Professional Modifier None Typical Low $707.95 Median $1,000.00 Typical High $1,174.90 | Professional | None | $707.95 | $1,000.00 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $812.83 Typical High $954.99 | Professional | None | $30.20 | $812.83 | $954.99 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $660.69 Median $1,412.54 Typical High $67,608.30 | Facility | None | $660.69 | $1,412.54 | $67,608.30 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $79,432.82 | Professional | None | $1,122.02 | $1,412.54 | $79,432.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $1,621.81 | Facility | None | $1,047.13 | $1,071.52 | $1,621.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,174.90 | Professional | None | $794.33 | $794.33 | $1,174.90 |
Select Health Setting Facility Modifier None Typical Low $1,047.13 Median $1,122.02 Typical High $1,445.44 | Facility | None | $1,047.13 | $1,122.02 | $1,445.44 |
Select Health Setting Professional Modifier None Typical Low $724.44 Median $1,122.02 Typical High $1,122.02 | Professional | None | $724.44 | $1,122.02 | $1,122.02 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $501.19 | Facility | None | $398.11 | $398.11 | $501.19 |
United Setting Professional Modifier None Typical Low $380.19 Median $407.38 Typical High $630.96 | Professional | None | $380.19 | $407.38 | $630.96 |
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 $354.81 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $354.81 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $144.54 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $138.04 Typical High $138.04 | Professional | 55 · Aftercare only | $107.15 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $93.33 Typical High $93.33 | Professional | 56 · Pre-op care only | $70.79 | $93.33 | $93.33 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $831.76 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $741.31 | $831.76 | $870.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $354.81 | $467.74 | $467.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $144.54 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $138.04 Typical High $138.04 | Professional | 55 · Aftercare only | $107.15 | $138.04 | $138.04 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $93.33 Typical High $93.33 | Professional | 56 · Pre-op care only | $70.79 | $93.33 | $93.33 |
Where Idaho sits
The same service costs 2.4 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· 6th of 51
$933
HI $1,122DC $468
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.