How much rates vary
Facilitymedian $977 · 10th to 90th $437 to $4,169Professionalmedian $513 · 10th to 90th $389 to $741
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 $512.86 Median $707.95 Typical High $5,495.41 | Facility | None | $512.86 | $707.95 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $426.58 Typical High $588.84 | Professional | None | $331.13 | $426.58 | $588.84 |
BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,778.28 Typical High $4,265.80 | Facility | None | $1,000.00 | $1,778.28 | $4,265.80 |
BCBS Setting Professional Modifier None Typical Low $426.58 Median $524.81 Typical High $831.76 | Professional | None | $426.58 | $524.81 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $912.01 Typical High $1,230.27 | Facility | None | $812.83 | $912.01 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $446.68 Typical High $616.60 | Professional | None | $354.81 | $446.68 | $616.60 |
Moda Health Setting Facility Modifier None Typical Low $363.08 Median $588.84 Typical High $4,466.84 | Facility | None | $363.08 | $588.84 | $4,466.84 |
Moda Health Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $741.31 | Professional | None | $398.11 | $537.03 | $741.31 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $380.19 Median $398.11 Typical High $660.69 | Facility | None | $380.19 | $398.11 | $660.69 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $758.58 | Professional | None | $398.11 | $478.63 | $758.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,754.23 Median $3,890.45 Typical High $5,248.07 | Facility | None | $2,754.23 | $3,890.45 | $5,248.07 |
Regence BlueShield Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $741.31 | Professional | None | $426.58 | $537.03 | $741.31 |
Select Health Setting Facility Modifier None Typical Low $363.08 Median $371.54 Typical High $2,951.21 | Facility | None | $363.08 | $371.54 | $2,951.21 |
Select Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $489.78 | Professional | None | $363.08 | $363.08 | $489.78 |
United Setting Facility Modifier None Typical Low $549.54 Median $676.08 Typical High $954.99 | Facility | None | $549.54 | $676.08 | $954.99 |
United Setting Professional Modifier None Typical Low $309.03 Median $426.58 Typical High $645.65 | Professional | None | $309.03 | $426.58 | $645.65 |
19 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 $213.80 Median $213.80 Typical High $295.12 | Professional | 52 · Reduced service | $213.80 | $213.80 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $117.49 | Professional | 53 · Discontinued | $85.11 | $85.11 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $323.59 Typical High $446.68 | Professional | 54 · Surgery only | $323.59 | $323.59 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $89.13 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $58.88 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $302.00 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $302.00 | $302.00 | $416.87 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $446.68 Typical High $630.96 | Professional | 54 · Surgery only | $398.11 | $446.68 | $630.96 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $52.48 Typical High $83.18 | Professional | 55 · Aftercare only | $47.86 | $52.48 | $83.18 |
BCBS Setting Professional Modifier 63 · Small infant Typical Low $512.86 Median $707.95 Typical High $1,000.00 | Professional | 63 · Small infant | $512.86 | $707.95 | $1,000.00 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $371.54 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $302.00 | $371.54 | $478.63 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $295.12 | Professional | 52 · Reduced service | $213.80 | $213.80 | $295.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $117.49 | Professional | 53 · Discontinued | $85.11 | $85.11 | $117.49 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $323.59 Typical High $446.68 | Professional | 54 · Surgery only | $323.59 | $323.59 | $446.68 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $89.13 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $89.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $58.88 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $58.88 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $302.00 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $302.00 | $302.00 | $416.87 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $457.09 | Professional | 54 · Surgery only | $331.13 | $331.13 | $457.09 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $66.07 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $66.07 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $354.81 | $354.81 | $489.78 |
Where Idaho sits
The same service costs 3.9 times more in Alaska than in Utah. 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· 10th of 51
$537
AK $1,259UT $324
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.