How much rates vary
Facilitymedian $295 · 10th to 90th $141 to $1,413Professionalmedian $275 · 10th to 90th $191 to $324
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 $1,412.54 Median $4,466.84 Typical High $7,079.46 | Facility | None | $1,412.54 | $4,466.84 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $309.03 Typical High $309.03 | Professional | None | $177.83 | $309.03 | $309.03 |
BCBS Idaho Setting Professional Modifier None Typical Low $229.09 Median $275.42 Typical High $323.59 | Professional | None | $229.09 | $275.42 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $199.53 Typical High $229.09 | Professional | None | $181.97 | $199.53 | $229.09 |
Moda Health Setting Facility Modifier None Typical Low $141.25 Median $309.03 Typical High $5,495.41 | Facility | None | $141.25 | $309.03 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $213.80 Median $275.42 Typical High $346.74 | Professional | None | $213.80 | $275.42 | $346.74 |
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 $245.47 Median $245.47 Typical High $295.12 | Facility | None | $245.47 | $245.47 | $295.12 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $245.47 Median $295.12 Typical High $380.19 | Professional | None | $245.47 | $295.12 | $380.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $251.19 Median $295.12 Typical High $346.74 | Professional | None | $251.19 | $295.12 | $346.74 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $151.36 | Facility | None | $141.25 | $141.25 | $151.36 |
Select Health Setting Professional Modifier None Typical Low $131.83 Median $141.25 Typical High $199.53 | Professional | None | $131.83 | $141.25 | $199.53 |
United Setting Facility Modifier None Typical Low $144.54 Median $363.08 Typical High $501.19 | Facility | None | $144.54 | $363.08 | $501.19 |
United Setting Professional Modifier None Typical Low $154.88 Median $213.80 Typical High $302.00 | Professional | None | $154.88 | $213.80 | $302.00 |
8 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 54 · Surgery only Typical Low $204.17 Median $239.88 Typical High $295.12 | Professional | 54 · Surgery only | $204.17 | $239.88 | $295.12 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $27.54 Typical High $32.36 | Professional | 55 · Aftercare only | $25.70 | $27.54 | $32.36 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $275.42 Median $331.13 Typical High $389.05 | Professional | 63 · Small infant | $275.42 | $331.13 | $389.05 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $186.21 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $158.49 | $186.21 | $229.09 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $36.31 Median $44.67 Typical High $52.48 | Professional | 80 · Assistant surgeon | $36.31 | $44.67 | $52.48 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $36.31 Median $42.66 Typical High $51.29 | Professional | 81 · Minimal assistant surgeon | $36.31 | $42.66 | $51.29 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $36.31 Median $42.66 Typical High $52.48 | Professional | 82 · Assistant surgeon, no resident | $36.31 | $42.66 | $52.48 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $30.90 Median $36.31 Typical High $43.65 | Professional | AS · PA/NP assist | $30.90 | $36.31 | $43.65 |
Where Idaho sits
The same service costs 12.0 times more in Utah than in Florida. 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.
Physician feeFacility fee
UT $3,137FL $261
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.