How much rates vary
Facilitymedian $62 · 10th to 90th $62 to $269Professionalmedian $257 · 10th to 90th $50 to $347
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $302.00 | Professional | None | $50.12 | $50.12 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $10.00 | $10.00 | $10.00 |
BCBS Idaho Setting Professional Modifier None Typical Low $208.93 Median $275.42 Typical High $302.00 | Professional | None | $208.93 | $275.42 | $302.00 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $194.98 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $147.91 | $194.98 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $229.09 Typical High $257.04 | Professional | None | $199.53 | $229.09 | $257.04 |
Moda Health Setting Professional Modifier None Typical Low $50.12 Median $63.10 Typical High $302.00 | Professional | None | $50.12 | $63.10 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $10.00 | $10.00 | $10.00 |
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 $52.48 Median $61.66 Typical High $61.66 | Facility | None | $52.48 | $61.66 | $61.66 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $53.70 Median $61.66 Typical High $112.20 | Professional | None | $53.70 | $61.66 | $112.20 |
Regence BlueShield Setting Professional Modifier None Typical Low $257.04 Median $269.15 Typical High $302.00 | Professional | None | $257.04 | $269.15 | $302.00 |
Select Health Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $398.11 | Professional | None | $269.15 | $346.74 | $398.11 |
1 more rate 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 |
|---|---|---|---|---|---|
Moda Health Setting Professional Modifier QZ · CRNA, independent Typical Low $77.62 Median $239.88 Typical High $309.03 | Professional | QZ · CRNA, independent | $77.62 | $239.88 | $309.03 |