How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,202 to $13,490Professionalmedian $1,514 · 10th to 90th $1,175 to $2,754
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 $1,174.90 Median $1,174.90 Typical High $1,513.56 | Professional | None | $1,174.90 | $1,174.90 | $1,513.56 |
BCBS Idaho Setting Facility Modifier None Typical Low $3,548.13 Median $8,317.64 Typical High $15,848.93 | Facility | None | $3,548.13 | $8,317.64 | $15,848.93 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $8,317.64 | Professional | None | $1,995.26 | $1,995.26 | $8,317.64 |
Moda Health Setting Facility Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $7,244.36 | Facility | None | $1,174.90 | $1,621.81 | $7,244.36 |
Moda Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,479.11 | Professional | None | $1,174.90 | $1,174.90 | $1,479.11 |
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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $363.08 Median $8,317.64 Typical High $8,317.64 | Professional | None | $363.08 | $8,317.64 | $8,317.64 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,709.64 Median $12,302.69 Typical High $16,982.44 | Facility | None | $8,709.64 | $12,302.69 | $16,982.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,290.87 | Professional | None | $1,995.26 | $1,995.26 | $2,290.87 |
Select Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,318.26 | Facility | None | $1,288.25 | $1,288.25 | $1,318.26 |
Select Health Setting Professional Modifier None Typical Low $436.52 Median $1,288.25 Typical High $1,288.25 | Professional | None | $436.52 | $1,288.25 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $1,621.81 | Facility | None | $1,047.13 | $1,412.54 | $1,621.81 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $1,995.26 Typical High $2,951.21 | Professional | None | $1,479.11 | $1,995.26 | $2,951.21 |
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 $588.84 Median $588.84 Typical High $741.31 | Professional | 52 · Reduced service | $588.84 | $588.84 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $295.12 | Professional | 53 · Discontinued | $234.42 | $234.42 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $1,096.48 | Professional | 54 · Surgery only | $891.25 | $891.25 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $218.78 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $147.91 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $147.91 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $588.84 Typical High $660.69 | Professional | 52 · Reduced service | $588.84 | $588.84 | $660.69 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $269.15 | Professional | 53 · Discontinued | $234.42 | $234.42 | $269.15 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $1,000.00 | Professional | 54 · Surgery only | $891.25 | $891.25 | $1,000.00 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $199.53 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $199.53 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $134.90 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $134.90 |
Where Idaho sits
The same service costs 109.6 times more in Alaska 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· 23rd of 51
$1,820
AK $5,370KY $48.98
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.