How much rates vary
Facilitymedian $2,291 · 10th to 90th $1,122 to $3,802Professionalmedian $1,950 · 10th to 90th $832 to $2,951
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 $1,513.56 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,513.56 | $1,949.84 | $1,949.84 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $3,801.89 | Facility | None | $1,862.09 | $2,290.87 | $3,801.89 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $2,630.27 | Professional | None | $1,659.59 | $2,511.89 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,202.26 | Facility | None | $1,122.02 | $1,122.02 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,122.02 | Professional | None | $831.76 | $831.76 | $1,122.02 |
Moda Health Setting Facility Modifier None Typical Low $588.84 Median $1,949.84 Typical High $2,398.83 | Facility | None | $588.84 | $1,949.84 | $2,398.83 |
Moda Health Setting Professional Modifier None Typical Low $1,513.56 Median $2,137.96 Typical High $2,511.89 | Professional | None | $1,513.56 | $2,137.96 | $2,511.89 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $1,698.24 Typical High $1,995.26 | Professional | None | $30.20 | $1,698.24 | $1,995.26 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,445.44 Median $2,951.21 Typical High $141,253.75 | Facility | None | $1,445.44 | $2,951.21 | $141,253.75 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,398.83 Median $2,951.21 Typical High $165,958.69 | Professional | None | $2,398.83 | $2,951.21 | $165,958.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,238.72 Median $2,290.87 Typical High $3,388.44 | Facility | None | $2,238.72 | $2,290.87 | $3,388.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,511.89 | Professional | None | $1,659.59 | $1,659.59 | $2,511.89 |
Select Health Setting Facility Modifier None Typical Low $2,187.76 Median $2,398.83 Typical High $3,019.95 | Facility | None | $2,187.76 | $2,398.83 | $3,019.95 |
Select Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,398.83 Typical High $2,398.83 | Professional | None | $1,548.82 | $2,398.83 | $2,398.83 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,202.26 | Facility | None | $1,047.13 | $1,047.13 | $1,202.26 |
United Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $1,380.38 | Professional | None | $831.76 | $912.01 | $1,380.38 |
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 $758.58 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $758.58 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $302.00 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $295.12 Typical High $295.12 | Professional | 55 · Aftercare only | $229.09 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $194.98 Typical High $194.98 | Professional | 56 · Pre-op care only | $151.36 | $194.98 | $194.98 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,737.80 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,737.80 | $1,819.70 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $758.58 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $758.58 | $977.24 | $977.24 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $302.00 | $389.05 | $389.05 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $295.12 Typical High $295.12 | Professional | 55 · Aftercare only | $229.09 | $295.12 | $295.12 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $194.98 Typical High $194.98 | Professional | 56 · Pre-op care only | $151.36 | $194.98 | $194.98 |
Where Idaho sits
The same service costs 3.1 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· 8th of 51
$1,995
HI $2,692DE $871
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.