How much rates vary
Facilitymedian $15,136 · 10th to 90th $1,995 to $45,709Professionalmedian $1,660 · 10th to 90th $708 to $2,692
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $1,621.81 Median $4,466.84 Typical High $7,244.36 | Facility | None | $1,621.81 | $4,466.84 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,348.96 Typical High $1,548.82 | Professional | None | $1,318.26 | $1,348.96 | $1,548.82 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,862.09 Median $15,848.93 Typical High $52,480.75 | Facility | None | $1,862.09 | $15,848.93 | $52,480.75 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $5,888.44 | Professional | None | $2,187.76 | $2,187.76 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $13,489.63 Median $15,135.61 Typical High $20,417.38 | Facility | None | $13,489.63 | $15,135.61 | $20,417.38 |
Moda Health Setting Facility Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $7,244.36 | Facility | None | $1,348.96 | $1,621.81 | $7,244.36 |
Moda Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,548.82 | Professional | None | $1,348.96 | $1,348.96 | $1,548.82 |
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 $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $26,915.35 Median $26,915.35 Typical High $26,915.35 | Professional | None | $26,915.35 | $26,915.35 | $26,915.35 |
Regence BlueShield Setting Facility Modifier None Typical Low $33,113.11 Median $45,708.82 Typical High $63,095.73 | Facility | None | $33,113.11 | $45,708.82 | $63,095.73 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,454.71 | Professional | None | $2,187.76 | $2,187.76 | $2,454.71 |
Select Health Setting Facility Modifier None Typical Low $37,153.52 Median $37,153.52 Typical High $41,686.94 | Facility | None | $37,153.52 | $37,153.52 | $41,686.94 |
Select Health Setting Professional Modifier None Typical Low $10,964.78 Median $15,135.61 Typical High $15,848.93 | Professional | None | $10,964.78 | $15,135.61 | $15,848.93 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $10,000.00 Typical High $12,882.50 | Facility | None | $2,570.40 | $10,000.00 | $12,882.50 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,949.84 Typical High $2,884.03 | Professional | None | $1,258.93 | $1,949.84 | $2,884.03 |
10 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $676.08 Median $676.08 Typical High $776.25 | Professional | 52 · Reduced service | $676.08 | $676.08 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $309.03 | Professional | 53 · Discontinued | $275.42 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $234.42 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $154.88 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $154.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $676.08 Median $676.08 Typical High $776.25 | Professional | 52 · Reduced service | $676.08 | $676.08 | $776.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $309.03 | Professional | 53 · Discontinued | $275.42 | $275.42 | $309.03 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,174.90 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $234.42 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $234.42 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $154.88 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $154.88 |
Where Idaho sits
The same service costs 6.9 times more in Arkansas than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Idaho· 18th of 51
$2,188
AR $8,318KY $1,202
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.