How much rates vary
Facilitymedian $3,548 · 10th to 90th $2,138 to $6,026Professionalmedian $3,020 · 10th to 90th $1,698 to $4,571
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 $2,344.23 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,344.23 | $3,019.95 | $3,019.95 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,884.03 Median $3,548.13 Typical High $6,025.60 | Facility | None | $2,884.03 | $3,548.13 | $6,025.60 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,570.40 Median $3,890.45 Typical High $4,073.80 | Professional | None | $2,570.40 | $3,890.45 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,511.89 | Facility | None | $2,398.83 | $2,398.83 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,737.80 | $1,737.80 | $2,398.83 |
Moda Health Setting Facility Modifier None Typical Low $1,096.48 Median $3,019.95 Typical High $3,715.35 | Facility | None | $1,096.48 | $3,019.95 | $3,715.35 |
Moda Health Setting Professional Modifier None Typical Low $2,344.23 Median $3,311.31 Typical High $3,890.45 | Professional | None | $2,344.23 | $3,311.31 | $3,890.45 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $2,754.23 Median $4,570.88 Typical High $218,776.16 | Facility | None | $2,754.23 | $4,570.88 | $218,776.16 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,715.35 Median $4,570.88 Typical High $257,039.58 | Professional | None | $3,715.35 | $4,570.88 | $257,039.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $5,248.07 | Facility | None | $3,467.37 | $3,548.13 | $5,248.07 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,890.45 | Professional | None | $2,570.40 | $2,570.40 | $3,890.45 |
Select Health Setting Facility Modifier None Typical Low $3,467.37 Median $3,715.35 Typical High $4,677.35 | Facility | None | $3,467.37 | $3,715.35 | $4,677.35 |
Select Health Setting Professional Modifier None Typical Low $2,398.83 Median $3,715.35 Typical High $4,073.80 | Professional | None | $2,398.83 | $3,715.35 | $4,073.80 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,698.24 | Facility | None | $1,445.44 | $1,445.44 | $1,698.24 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $1,698.24 Typical High $2,630.27 | Professional | None | $1,548.82 | $1,698.24 | $2,630.27 |
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 $1,174.90 Median $1,513.56 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,174.90 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $602.56 Typical High $602.56 | Professional | 53 · Discontinued | $467.74 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $457.09 Typical High $457.09 | Professional | 55 · Aftercare only | $354.81 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $302.00 Typical High $302.00 | Professional | 56 · Pre-op care only | $234.42 | $302.00 | $302.00 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,398.83 Median $2,691.53 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $2,398.83 | $2,691.53 | $2,818.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,174.90 Median $1,513.56 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,174.90 | $1,513.56 | $1,513.56 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $602.56 Typical High $602.56 | Professional | 53 · Discontinued | $467.74 | $602.56 | $602.56 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $457.09 Typical High $457.09 | Professional | 55 · Aftercare only | $354.81 | $457.09 | $457.09 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $302.00 Typical High $302.00 | Professional | 56 · Pre-op care only | $234.42 | $302.00 | $302.00 |
Where Idaho sits
The same service costs 2.2 times more in Arkansas 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· 12th of 51
$3,090
AR $3,890DE $1,738
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.