How much rates vary
Facilitymedian $214 · 10th to 90th $182 to $355Professionalmedian $191 · 10th to 90th $100 to $8,128
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 $177.83 Median $190.55 Typical High $190.55 | Professional | None | $177.83 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $89.13 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $35.48 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $26.92 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $19.05 Typical High $19.05 | Professional | 56 · Pre-op care only | $17.78 | $19.05 | $19.05 |
BCBS Idaho Setting Facility Modifier None Typical Low $173.78 Median $213.80 Typical High $354.81 | Facility | None | $173.78 | $213.80 | $354.81 |
BCBS Idaho Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Moda Health Setting Facility Modifier None Typical Low $177.83 Median $190.55 Typical High $275.42 | Facility | None | $177.83 | $190.55 | $275.42 |
Moda Health Setting Professional Modifier None Typical Low $177.83 Median $190.55 Typical High $234.42 | Professional | None | $177.83 | $190.55 | $234.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $89.13 | $95.50 | $95.50 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $35.48 | $38.02 | $38.02 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $26.92 | $28.84 | $28.84 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $19.05 Typical High $19.05 | Professional | 56 · Pre-op care only | $17.78 | $19.05 | $19.05 |
Molina Setting Professional Modifier None Typical Low $4.27 Median $21.38 Typical High $30.20 | Professional | None | $4.27 | $21.38 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $13,489.63 | Facility | None | $275.42 | $275.42 | $13,489.63 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $54.95 Median $275.42 Typical High $15,488.17 | Professional | None | $54.95 | $275.42 | $15,488.17 |
Regence BlueShield Setting Facility Modifier None Typical Low $208.93 Median $213.80 Typical High $316.23 | Facility | None | $208.93 | $213.80 | $316.23 |
Select Health Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $288.40 | Facility | None | $223.87 | $223.87 | $288.40 |
Select Health Setting Professional Modifier None Typical Low $218.78 Median $223.87 Typical High $436.52 | Professional | None | $218.78 | $223.87 | $436.52 |
United Setting Professional Modifier None Typical Low $85.11 Median $102.33 Typical High $109.65 | Professional | None | $85.11 | $102.33 | $109.65 |
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 |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $162.18 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $162.18 | $162.18 | $169.82 |
United Setting Professional Modifier CD · Dialysis lab test, bundled Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | CD · Dialysis lab test, bundled | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier CM · 80–99% impaired Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | CM · 80–99% impaired | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier XC Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | XC | $1,513.56 | $1,513.56 | $1,513.56 |
Where Idaho sits
The same service costs 2.8 times more in Minnesota than in Utah. 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· 15th of 51
$191
MN $295UT $107
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.