How much rates vary
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 $758.58 Median $776.25 Typical High $776.25 | Professional | None | $758.58 | $776.25 | $776.25 |
BCBS Idaho Setting Facility Modifier None Typical Low $331.13 Median $549.54 Typical High $933.25 | Facility | None | $331.13 | $549.54 | $933.25 |
BCBS Idaho Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,047.13 | Professional | None | $933.25 | $933.25 | $1,047.13 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $660.69 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $562.34 | $660.69 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $870.96 Typical High $2,089.30 | Facility | None | $831.76 | $870.96 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Moda Health Setting Facility Modifier None Typical Low $758.58 Median $776.25 Typical High $1,096.48 | Facility | None | $758.58 | $776.25 | $1,096.48 |
Moda Health Setting Professional Modifier None Typical Low $758.58 Median $776.25 Typical High $776.25 | Professional | None | $758.58 | $776.25 | $776.25 |
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 Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $794.33 |
Select Health Setting Facility Modifier None Typical Low $676.08 Median $776.25 Typical High $1,096.48 | Facility | None | $676.08 | $776.25 | $1,096.48 |
Select Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,096.48 | Professional | None | $1,047.13 | $1,047.13 | $1,096.48 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
4 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 |
|---|---|---|---|---|---|
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | 22 · Increased work | $1,174.90 | $1,174.90 | $1,174.90 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 54 · Surgery only | $741.31 | $741.31 | $741.31 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $104.71 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | 63 · Small infant | $1,174.90 | $1,174.90 | $1,174.90 |
Where Idaho sits
The same service costs 4.2 times more in Oklahoma than in Missouri. 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· 24th of 51
$776
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.