How much rates vary
Facilitymedian $3,162 · 10th to 90th $1,413 to $8,511Professionalmedian $407 · 10th to 90th $324 to $550
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 $323.59 Median $323.59 Typical High $363.08 | Professional | None | $323.59 | $323.59 | $363.08 |
BCBS Idaho Setting Facility Modifier None Typical Low $3,235.94 Median $3,801.89 Typical High $9,772.37 | Facility | None | $3,235.94 | $3,801.89 | $9,772.37 |
BCBS Idaho Setting Professional Modifier None Typical Low $363.08 Median $426.58 Typical High $524.81 | Professional | None | $363.08 | $426.58 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $2,630.27 Median $2,951.21 Typical High $3,981.07 | Facility | None | $2,630.27 | $2,951.21 | $3,981.07 |
Moda Health Setting Facility Modifier None Typical Low $323.59 Median $467.74 Typical High $5,495.41 | Facility | None | $323.59 | $467.74 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $363.08 | Professional | None | $323.59 | $323.59 | $363.08 |
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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $102.33 Median $5,248.07 Typical High $5,248.07 | Professional | None | $102.33 | $5,248.07 | $5,248.07 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,623.41 Median $7,762.47 Typical High $10,715.19 | Facility | None | $5,623.41 | $7,762.47 | $10,715.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $489.78 Median $524.81 Typical High $524.81 | Professional | None | $489.78 | $524.81 | $524.81 |
Select Health Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $467.74 | Facility | None | $446.68 | $446.68 | $467.74 |
Select Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $2,691.53 | Professional | None | $446.68 | $446.68 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,819.70 Typical High $2,398.83 | Facility | None | $1,412.54 | $1,819.70 | $2,398.83 |
United Setting Professional Modifier None Typical Low $389.05 Median $524.81 Typical High $741.31 | Professional | None | $389.05 | $524.81 | $741.31 |
11 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 $162.18 Median $162.18 Typical High $181.97 | Professional | 52 · Reduced service | $162.18 | $162.18 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $74.13 | Professional | 53 · Discontinued | $64.57 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $245.47 Typical High $275.42 | Professional | 54 · Surgery only | $245.47 | $245.47 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $54.95 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $32.36 Typical High $36.31 | Professional | 56 · Pre-op care only | $32.36 | $32.36 | $36.31 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $281.84 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $251.19 | $281.84 | $295.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $162.18 Typical High $181.97 | Professional | 52 · Reduced service | $162.18 | $162.18 | $181.97 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $74.13 | Professional | 53 · Discontinued | $64.57 | $64.57 | $74.13 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $245.47 Typical High $275.42 | Professional | 54 · Surgery only | $245.47 | $245.47 | $275.42 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $54.95 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $54.95 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $32.36 Typical High $36.31 | Professional | 56 · Pre-op care only | $32.36 | $32.36 | $36.31 |
Where Idaho sits
The same service costs 28.2 times more in Texas 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· 32nd of 51
$427
TX $2,570KY $91.20
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.