How much rates vary
Facilitymedian $62 · 10th to 90th $62 to $214Professionalmedian $204 · 10th to 90th $50 to $282
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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $239.88 | Professional | None | $50.12 | $50.12 | $239.88 |
BCBS Idaho Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $239.88 | Professional | None | $158.49 | $208.93 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $169.82 Typical High $194.98 | Professional | None | $151.36 | $169.82 | $194.98 |
Moda Health Setting Professional Modifier None Typical Low $50.12 Median $134.90 Typical High $239.88 | Professional | None | $50.12 | $134.90 | $239.88 |
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 $204.17 Median $213.80 Typical High $239.88 | Professional | None | $204.17 | $213.80 | $239.88 |
Select Health Setting Professional Modifier None Typical Low $213.80 Median $281.84 Typical High $316.23 | Professional | None | $213.80 | $281.84 | $316.23 |
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 $109.65 Median $147.91 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $109.65 | $147.91 | $154.88 |
BCBS Idaho Setting Professional Modifier AD · Supervising 5+ Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | AD · Supervising 5+ | $102.33 | $102.33 | $120.23 |
BCBS Idaho Setting Professional Modifier QK · Directing 2–4 cases Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | QK · Directing 2–4 cases | $102.33 | $102.33 | $120.23 |
BCBS Idaho Setting Professional Modifier QX · CRNA, directed Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | QX · CRNA, directed | $102.33 | $102.33 | $120.23 |
BCBS Idaho Setting Professional Modifier QY · Directing one CRNA Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | QY · Directing one CRNA | $102.33 | $102.33 | $120.23 |
Regence BlueShield Setting Professional Modifier AD · Supervising 5+ Typical Low $102.33 Median $107.15 Typical High $120.23 | Professional | AD · Supervising 5+ | $102.33 | $107.15 | $120.23 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $102.33 Median $107.15 Typical High $120.23 | Professional | QK · Directing 2–4 cases | $102.33 | $107.15 | $120.23 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $102.33 Median $107.15 Typical High $120.23 | Professional | QX · CRNA, directed | $102.33 | $107.15 | $120.23 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $102.33 Median $107.15 Typical High $120.23 | Professional | QY · Directing one CRNA | $102.33 | $107.15 | $120.23 |