How much rates vary
Facilitymedian $7,079 · 10th to 90th $4,266 to $11,749Professionalmedian $6,166 · 10th to 90th $3,467 to $9,333
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 $4,786.30 Median $6,165.95 Typical High $6,165.95 | Professional | None | $4,786.30 | $6,165.95 | $6,165.95 |
BCBS Idaho Setting Facility Modifier None Typical Low $5,370.32 Median $7,079.46 Typical High $11,748.98 | Facility | None | $5,370.32 | $7,079.46 | $11,748.98 |
BCBS Idaho Setting Professional Modifier None Typical Low $5,248.07 Median $7,762.47 Typical High $8,317.64 | Professional | None | $5,248.07 | $7,762.47 | $8,317.64 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,897.79 | Facility | None | $4,677.35 | $4,677.35 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,677.35 | Professional | None | $3,467.37 | $3,467.37 | $4,677.35 |
Moda Health Setting Facility Modifier None Typical Low $2,290.87 Median $6,165.95 Typical High $7,413.10 | Facility | None | $2,290.87 | $6,165.95 | $7,413.10 |
Moda Health Setting Professional Modifier None Typical Low $4,786.30 Median $6,760.83 Typical High $7,762.47 | Professional | None | $4,786.30 | $6,760.83 | $7,762.47 |
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 $5,888.44 Median $9,332.54 Typical High $446,683.59 | Facility | None | $5,888.44 | $9,332.54 | $446,683.59 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $7,413.10 Median $9,332.54 Typical High $524,807.46 | Professional | None | $7,413.10 | $9,332.54 | $524,807.46 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,918.31 Median $7,079.46 Typical High $10,715.19 | Facility | None | $6,918.31 | $7,079.46 | $10,715.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,762.47 | Professional | None | $5,248.07 | $5,248.07 | $7,762.47 |
Select Health Setting Facility Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $9,549.93 | Facility | None | $7,413.10 | $7,413.10 | $9,549.93 |
Select Health Setting Professional Modifier None Typical Low $4,897.79 Median $7,413.10 Typical High $8,128.31 | Professional | None | $4,897.79 | $7,413.10 | $8,128.31 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,548.13 | Facility | None | $2,884.03 | $2,884.03 | $3,548.13 |
United Setting Professional Modifier None Typical Low $3,235.94 Median $3,548.13 Typical High $5,370.32 | Professional | None | $3,235.94 | $3,548.13 | $5,370.32 |
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 $2,398.83 Median $3,090.30 Typical High $3,090.30 | Professional | 52 · Reduced service | $2,398.83 | $3,090.30 | $3,090.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $954.99 Median $1,230.27 Typical High $1,230.27 | Professional | 53 · Discontinued | $954.99 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $707.95 Median $933.25 Typical High $933.25 | Professional | 55 · Aftercare only | $707.95 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $478.63 Median $616.60 Typical High $616.60 | Professional | 56 · Pre-op care only | $478.63 | $616.60 | $616.60 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $4,897.79 Median $5,495.41 Typical High $5,754.40 | Professional | 78 · Unplanned return to OR | $4,897.79 | $5,495.41 | $5,754.40 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2,398.83 Median $3,090.30 Typical High $3,090.30 | Professional | 52 · Reduced service | $2,398.83 | $3,090.30 | $3,090.30 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $954.99 Median $1,230.27 Typical High $1,230.27 | Professional | 53 · Discontinued | $954.99 | $1,230.27 | $1,230.27 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $707.95 Median $933.25 Typical High $933.25 | Professional | 55 · Aftercare only | $707.95 | $933.25 | $933.25 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $478.63 Median $616.60 Typical High $616.60 | Professional | 56 · Pre-op care only | $478.63 | $616.60 | $616.60 |
Where Idaho sits
The same service costs 2.3 times more in Arkansas than in Vermont. 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· 14th of 51
$6,310
AR $8,128VT $3,467
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.