How much rates vary
Facilitymedian $62 · 10th to 90th $62 to $589Professionalmedian $562 · 10th to 90th $50 to $776
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 $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $660.69 | Professional | None | $50.12 | $50.12 | $660.69 |
BCBS Idaho Setting Professional Modifier None Typical Low $524.81 Median $660.69 Typical High $724.44 | Professional | None | $524.81 | $660.69 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $575.44 Typical High $645.65 | Professional | None | $501.19 | $575.44 | $645.65 |
Moda Health Setting Professional Modifier None Typical Low $50.12 Median $371.54 Typical High $660.69 | Professional | None | $50.12 | $371.54 | $660.69 |
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 $562.34 Median $588.84 Typical High $660.69 | Professional | None | $562.34 | $588.84 | $660.69 |
Select Health Setting Professional Modifier None Typical Low $588.84 Median $776.25 Typical High $870.96 | Professional | None | $588.84 | $776.25 | $870.96 |
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 $371.54 Median $489.78 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $371.54 | $489.78 | $512.86 |
BCBS Idaho Setting Professional Modifier AD · Supervising 5+ Typical Low $281.84 Median $281.84 Typical High $331.13 | Professional | AD · Supervising 5+ | $281.84 | $281.84 | $331.13 |
BCBS Idaho Setting Professional Modifier QK · Directing 2–4 cases Typical Low $281.84 Median $281.84 Typical High $331.13 | Professional | QK · Directing 2–4 cases | $281.84 | $281.84 | $331.13 |
BCBS Idaho Setting Professional Modifier QX · CRNA, directed Typical Low $281.84 Median $281.84 Typical High $331.13 | Professional | QX · CRNA, directed | $281.84 | $281.84 | $331.13 |
BCBS Idaho Setting Professional Modifier QY · Directing one CRNA Typical Low $281.84 Median $281.84 Typical High $331.13 | Professional | QY · Directing one CRNA | $281.84 | $281.84 | $331.13 |
Regence BlueShield Setting Professional Modifier AD · Supervising 5+ Typical Low $281.84 Median $295.12 Typical High $331.13 | Professional | AD · Supervising 5+ | $281.84 | $295.12 | $331.13 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $281.84 Median $295.12 Typical High $331.13 | Professional | QK · Directing 2–4 cases | $281.84 | $295.12 | $331.13 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $281.84 Median $295.12 Typical High $331.13 | Professional | QX · CRNA, directed | $281.84 | $295.12 | $331.13 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $281.84 Median $295.12 Typical High $331.13 | Professional | QY · Directing one CRNA | $281.84 | $295.12 | $331.13 |