How much rates vary
Facilitymedian $1,862 · 10th to 90th $1,148 to $3,162Professionalmedian $1,622 · 10th to 90th $851 to $2,455
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 $1,258.93 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,258.93 | $1,621.81 | $1,621.81 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,548.82 Median $1,862.09 Typical High $3,162.28 | Facility | None | $1,548.82 | $1,862.09 | $3,162.28 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,380.38 Median $2,041.74 Typical High $2,187.76 | Professional | None | $1,380.38 | $2,041.74 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,548.82 | Facility | None | $1,479.11 | $1,479.11 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,479.11 | Professional | None | $1,071.52 | $1,071.52 | $1,479.11 |
Moda Health Setting Facility Modifier None Typical Low $549.54 Median $1,621.81 Typical High $1,949.84 | Facility | None | $549.54 | $1,621.81 | $1,949.84 |
Moda Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,778.28 Typical High $2,041.74 | Professional | None | $1,258.93 | $1,778.28 | $2,041.74 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $1,412.54 Typical High $1,659.59 | Professional | None | $30.20 | $1,412.54 | $1,659.59 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,380.38 Median $2,454.71 Typical High $117,489.76 | Facility | None | $1,380.38 | $2,454.71 | $117,489.76 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,949.84 Median $2,454.71 Typical High $138,038.43 | Professional | None | $1,949.84 | $2,454.71 | $138,038.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,819.70 Median $1,862.09 Typical High $2,818.38 | Facility | None | $1,819.70 | $1,862.09 | $2,818.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,041.74 | Professional | None | $1,380.38 | $1,380.38 | $2,041.74 |
Select Health Setting Facility Modifier None Typical Low $1,819.70 Median $1,949.84 Typical High $2,511.89 | Facility | None | $1,819.70 | $1,949.84 | $2,511.89 |
Select Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,949.84 Typical High $2,137.96 | Professional | None | $1,288.25 | $1,949.84 | $2,137.96 |
United Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,148.15 | Facility | None | $954.99 | $954.99 | $1,148.15 |
United Setting Professional Modifier None Typical Low $794.33 Median $851.14 Typical High $1,318.26 | Professional | None | $794.33 | $851.14 | $1,318.26 |
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 $630.96 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $630.96 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $251.19 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $245.47 Typical High $245.47 | Professional | 55 · Aftercare only | $186.21 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $125.89 | $162.18 | $162.18 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,445.44 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,445.44 | $1,513.56 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $630.96 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $630.96 | $812.83 | $812.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $251.19 | $323.59 | $323.59 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $245.47 Typical High $245.47 | Professional | 55 · Aftercare only | $186.21 | $245.47 | $245.47 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $125.89 | $162.18 | $162.18 |
Where Idaho sits
The same service costs 2.5 times more in Hawaii than in Rhode Island. 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· 9th of 51
$1,660
HI $2,570RI $1,023
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.