How much rates vary
Facilitymedian $62 · 10th to 90th $62 to $479Professionalmedian $457 · 10th to 90th $50 to $631
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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $537.03 | Professional | None | $50.12 | $50.12 | $537.03 |
BCBS Idaho Setting Professional Modifier None Typical Low $416.87 Median $537.03 Typical High $588.84 | Professional | None | $416.87 | $537.03 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $457.09 Typical High $524.81 | Professional | None | $398.11 | $457.09 | $524.81 |
Moda Health Setting Professional Modifier None Typical Low $50.12 Median $302.00 Typical High $537.03 | Professional | None | $50.12 | $302.00 | $537.03 |
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 $457.09 Median $478.63 Typical High $537.03 | Professional | None | $457.09 | $478.63 | $537.03 |
Select Health Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $707.95 | Professional | None | $478.63 | $630.96 | $707.95 |
United Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $74.13 | Professional | None | $38.02 | $54.95 | $74.13 |
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 |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $389.05 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $295.12 | $389.05 | $407.38 |
BCBS Idaho Setting Professional Modifier AD · Supervising 5+ Typical Low $229.09 Median $229.09 Typical High $269.15 | Professional | AD · Supervising 5+ | $229.09 | $229.09 | $269.15 |
BCBS Idaho Setting Professional Modifier QK · Directing 2–4 cases Typical Low $229.09 Median $229.09 Typical High $269.15 | Professional | QK · Directing 2–4 cases | $229.09 | $229.09 | $269.15 |
BCBS Idaho Setting Professional Modifier QX · CRNA, directed Typical Low $229.09 Median $229.09 Typical High $269.15 | Professional | QX · CRNA, directed | $229.09 | $229.09 | $269.15 |
BCBS Idaho Setting Professional Modifier QY · Directing one CRNA Typical Low $229.09 Median $229.09 Typical High $269.15 | Professional | QY · Directing one CRNA | $229.09 | $229.09 | $269.15 |
Regence BlueShield Setting Professional Modifier AD · Supervising 5+ Typical Low $229.09 Median $239.88 Typical High $269.15 | Professional | AD · Supervising 5+ | $229.09 | $239.88 | $269.15 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $229.09 Median $239.88 Typical High $269.15 | Professional | QK · Directing 2–4 cases | $229.09 | $239.88 | $269.15 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $229.09 Median $239.88 Typical High $269.15 | Professional | QX · CRNA, directed | $229.09 | $239.88 | $269.15 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $229.09 Median $239.88 Typical High $269.15 | Professional | QY · Directing one CRNA | $229.09 | $239.88 | $269.15 |