How much rates vary
Facilitymedian $209 · 10th to 90th $186 to $347Professionalmedian $186 · 10th to 90th $98 to $7,943
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 $173.78 Median $186.21 Typical High $186.21 | Professional | None | $173.78 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $87.10 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $34.67 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $27.54 Typical High $27.54 | Professional | 55 · Aftercare only | $25.70 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $17.38 | $18.62 | $18.62 |
BCBS Idaho Setting Facility Modifier None Typical Low $177.83 Median $208.93 Typical High $346.74 | Facility | None | $177.83 | $208.93 | $346.74 |
BCBS Idaho Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Moda Health Setting Facility Modifier None Typical Low $173.78 Median $186.21 Typical High $263.03 | Facility | None | $173.78 | $186.21 | $263.03 |
Moda Health Setting Professional Modifier None Typical Low $173.78 Median $186.21 Typical High $229.09 | Professional | None | $173.78 | $186.21 | $229.09 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $87.10 | $93.33 | $93.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $34.67 | $37.15 | $37.15 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $27.54 Typical High $27.54 | Professional | 55 · Aftercare only | $25.70 | $27.54 | $27.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $17.38 | $18.62 | $18.62 |
Molina Setting Professional Modifier None Typical Low $4.27 Median $30.20 Typical High $44.67 | Professional | None | $4.27 | $30.20 | $44.67 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $12,882.50 | Facility | None | $269.15 | $269.15 | $12,882.50 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $53.70 Median $269.15 Typical High $15,135.61 | Professional | None | $53.70 | $269.15 | $15,135.61 |
Regence BlueShield Setting Facility Modifier None Typical Low $204.17 Median $208.93 Typical High $309.03 | Facility | None | $204.17 | $208.93 | $309.03 |
Select Health Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $275.42 | Facility | None | $218.78 | $218.78 | $275.42 |
Select Health Setting Professional Modifier None Typical Low $190.55 Median $218.78 Typical High $426.58 | Professional | None | $190.55 | $218.78 | $426.58 |
United Setting Professional Modifier None Typical Low $83.18 Median $100.00 Typical High $104.71 | Professional | None | $83.18 | $100.00 | $104.71 |
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 $158.49 Median $158.49 Typical High $165.96 | Professional | 78 · Unplanned return to OR | $158.49 | $158.49 | $165.96 |
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 3.3 times more in Alaska than in Indiana. 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· 13th of 51
$186
AK $347IN $105
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.