How much rates vary
Facilitymedian $490 · 10th to 90th $417 to $832Professionalmedian $427 · 10th to 90th $178 to $617
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 $316.23 Median $426.58 Typical High $426.58 | Professional | None | $316.23 | $426.58 | $426.58 |
BCBS Idaho Setting Facility Modifier None Typical Low $407.38 Median $478.63 Typical High $812.83 | Facility | None | $407.38 | $478.63 | $812.83 |
BCBS Idaho Setting Professional Modifier None Typical Low $346.74 Median $524.81 Typical High $549.54 | Professional | None | $346.74 | $524.81 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Moda Health Setting Facility Modifier None Typical Low $398.11 Median $426.58 Typical High $616.60 | Facility | None | $398.11 | $426.58 | $616.60 |
Moda Health Setting Professional Modifier None Typical Low $398.11 Median $426.58 Typical High $524.81 | Professional | None | $398.11 | $426.58 | $524.81 |
Molina Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $331.13 | Professional | None | $281.84 | $281.84 | $331.13 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $29,512.09 | Facility | None | $616.60 | $616.60 | $29,512.09 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $123.03 Median $616.60 Typical High $34,673.69 | Professional | None | $123.03 | $616.60 | $34,673.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $467.74 Median $478.63 Typical High $707.95 | Facility | None | $467.74 | $478.63 | $707.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $524.81 | Professional | None | $346.74 | $346.74 | $524.81 |
Select Health Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $630.96 | Facility | None | $501.19 | $501.19 | $630.96 |
Select Health Setting Professional Modifier None Typical Low $489.78 Median $501.19 Typical High $977.24 | Professional | None | $489.78 | $501.19 | $977.24 |
United Setting Professional Modifier None Typical Low $141.25 Median $173.78 Typical High $181.97 | Professional | None | $141.25 | $173.78 | $181.97 |
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 $158.49 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $158.49 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $63.10 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $47.86 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $31.62 | $42.66 | $42.66 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $363.08 | $363.08 | $380.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $194.98 | $213.80 | $213.80 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $79.43 | $85.11 | $85.11 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $58.88 | $64.57 | $64.57 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $39.81 | $42.66 | $42.66 |
Where Idaho sits
The same service costs 4.4 times more in Hawaii than in Florida. 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· 6th of 51
$427
HI $776FL $178
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.