How much rates vary
Facilitymedian $832 · 10th to 90th $525 to $1,380Professionalmedian $724 · 10th to 90th $389 to $1,096
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 $562.34 Median $724.44 Typical High $724.44 | Professional | None | $562.34 | $724.44 | $724.44 |
BCBS Idaho Setting Facility Modifier None Typical Low $676.08 Median $831.76 Typical High $1,380.38 | Facility | None | $676.08 | $831.76 | $1,380.38 |
BCBS Idaho Setting Professional Modifier None Typical Low $616.60 Median $912.01 Typical High $954.99 | Professional | None | $616.60 | $912.01 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $588.84 | Facility | None | $524.81 | $524.81 | $588.84 |
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 $257.04 Median $724.44 Typical High $933.25 | Facility | None | $257.04 | $724.44 | $933.25 |
Moda Health Setting Professional Modifier None Typical Low $562.34 Median $794.33 Typical High $912.01 | Professional | None | $562.34 | $794.33 | $912.01 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $630.96 Typical High $741.31 | Professional | None | $30.20 | $630.96 | $741.31 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $707.95 Median $1,096.48 Typical High $52,480.75 | Facility | None | $707.95 | $1,096.48 | $52,480.75 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $870.96 Median $1,096.48 Typical High $61,659.50 | Professional | None | $870.96 | $1,096.48 | $61,659.50 |
Regence BlueShield Setting Facility Modifier None Typical Low $812.83 Median $831.76 Typical High $1,258.93 | Facility | None | $812.83 | $831.76 | $1,258.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $912.01 | Professional | None | $616.60 | $616.60 | $912.01 |
Select Health Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $1,122.02 | Facility | None | $870.96 | $870.96 | $1,122.02 |
Select Health Setting Professional Modifier None Typical Low $575.44 Median $870.96 Typical High $954.99 | Professional | None | $575.44 | $870.96 | $954.99 |
United Setting Professional Modifier None Typical Low $371.54 Median $398.11 Typical High $616.60 | Professional | None | $371.54 | $398.11 | $616.60 |
5 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 55 · Aftercare only Typical Low $83.18 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $83.18 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $56.23 | $72.44 | $72.44 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $645.65 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $575.44 | $645.65 | $676.08 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $83.18 | $109.65 | $109.65 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $56.23 | $72.44 | $72.44 |
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· 13th of 51
$741
HI $1,259DE $389
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.