How much rates vary
Facilitymedian $62 · 10th to 90th $62 to $372Professionalmedian $355 · 10th to 90th $50 to $490
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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $416.87 | Professional | None | $50.12 | $50.12 | $416.87 |
BCBS Idaho Setting Professional Modifier None Typical Low $316.23 Median $398.11 Typical High $436.52 | Professional | None | $316.23 | $398.11 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $338.84 Typical High $389.05 | Professional | None | $302.00 | $338.84 | $389.05 |
Moda Health Setting Professional Modifier None Typical Low $50.12 Median $234.42 Typical High $416.87 | Professional | None | $50.12 | $234.42 | $416.87 |
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 $354.81 Median $371.54 Typical High $416.87 | Professional | None | $354.81 | $371.54 | $416.87 |
Select Health Setting Professional Modifier None Typical Low $371.54 Median $489.78 Typical High $549.54 | Professional | None | $371.54 | $489.78 | $549.54 |
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 $218.78 Median $295.12 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $218.78 | $295.12 | $309.03 |
BCBS Idaho Setting Professional Modifier AD · Supervising 5+ Typical Low $177.83 Median $177.83 Typical High $208.93 | Professional | AD · Supervising 5+ | $177.83 | $177.83 | $208.93 |
BCBS Idaho Setting Professional Modifier QK · Directing 2–4 cases Typical Low $177.83 Median $177.83 Typical High $208.93 | Professional | QK · Directing 2–4 cases | $177.83 | $177.83 | $208.93 |
BCBS Idaho Setting Professional Modifier QX · CRNA, directed Typical Low $177.83 Median $177.83 Typical High $208.93 | Professional | QX · CRNA, directed | $177.83 | $177.83 | $208.93 |
BCBS Idaho Setting Professional Modifier QY · Directing one CRNA Typical Low $177.83 Median $177.83 Typical High $208.93 | Professional | QY · Directing one CRNA | $177.83 | $177.83 | $208.93 |
Regence BlueShield Setting Professional Modifier AD · Supervising 5+ Typical Low $177.83 Median $186.21 Typical High $208.93 | Professional | AD · Supervising 5+ | $177.83 | $186.21 | $208.93 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $177.83 Median $186.21 Typical High $208.93 | Professional | QK · Directing 2–4 cases | $177.83 | $186.21 | $208.93 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $177.83 Median $186.21 Typical High $208.93 | Professional | QX · CRNA, directed | $177.83 | $186.21 | $208.93 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $177.83 Median $186.21 Typical High $208.93 | Professional | QY · Directing one CRNA | $177.83 | $186.21 | $208.93 |