How much rates vary
Facilitymedian $363 · 10th to 90th $151 to $832Professionalmedian $724 · 10th to 90th $457 to $871
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 $407.38 Median $724.44 Typical High $812.83 | Professional | None | $407.38 | $724.44 | $812.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $537.03 Typical High $588.84 | Professional | 54 · Surgery only | $346.74 | $537.03 | $588.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $501.19 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $323.59 | $501.19 | $549.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $144.54 Median $263.03 Typical High $707.95 | Facility | None | $144.54 | $263.03 | $707.95 |
BCBS Idaho Setting Professional Modifier None Typical Low $630.96 Median $758.58 Typical High $912.01 | Professional | None | $630.96 | $758.58 | $912.01 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $676.08 Typical High $794.33 | Professional | 54 · Surgery only | $575.44 | $676.08 | $794.33 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $524.81 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $446.68 | $524.81 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $165.96 Typical High $229.09 | Facility | None | $147.91 | $165.96 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $524.81 Typical High $602.56 | Professional | None | $426.58 | $524.81 | $602.56 |
Moda Health Setting Facility Modifier None Typical Low $346.74 Median $776.25 Typical High $4,466.84 | Facility | None | $346.74 | $776.25 | $4,466.84 |
Moda Health Setting Professional Modifier None Typical Low $512.86 Median $724.44 Typical High $891.25 | Professional | None | $512.86 | $724.44 | $891.25 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $537.03 Typical High $588.84 | Professional | 54 · Surgery only | $346.74 | $537.03 | $588.84 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $501.19 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $323.59 | $501.19 | $549.54 |
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 $676.08 Median $691.83 Typical High $831.76 | Facility | None | $676.08 | $691.83 | $831.76 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $1,047.13 | Professional | None | $691.83 | $831.76 | $1,047.13 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $616.60 | Professional | 54 · Surgery only | $562.34 | $562.34 | $616.60 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $602.56 | $602.56 | $660.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $398.11 Median $575.44 Typical High $776.25 | Facility | None | $398.11 | $575.44 | $776.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $933.25 | Professional | None | $676.08 | $794.33 | $933.25 |
Select Health Setting Facility Modifier None Typical Low $281.84 Median $398.11 Typical High $407.38 | Facility | None | $281.84 | $398.11 | $407.38 |
Select Health Setting Professional Modifier None Typical Low $151.36 Median $398.11 Typical High $562.34 | Professional | None | $151.36 | $398.11 | $562.34 |
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 $371.54 Median $512.86 Typical High $758.58 | Professional | None | $371.54 | $512.86 | $758.58 |
14 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 $229.09 Median $363.08 Typical High $389.05 | Professional | 52 · Reduced service | $229.09 | $363.08 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $144.54 Typical High $158.49 | Professional | 53 · Discontinued | $93.33 | $144.54 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $107.15 Typical High $117.49 | Professional | 55 · Aftercare only | $69.18 | $107.15 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $72.44 Typical High $77.62 | Professional | 56 · Pre-op care only | $46.77 | $72.44 | $77.62 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $218.78 Median $389.05 Typical High $1,071.52 | Facility | 50 · Both sides | $218.78 | $389.05 | $1,071.52 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $954.99 Median $1,122.02 Typical High $1,348.96 | Professional | 50 · Both sides | $954.99 | $1,122.02 | $1,348.96 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $75.86 Typical High $87.10 | Professional | 55 · Aftercare only | $63.10 | $75.86 | $87.10 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $794.33 Median $912.01 Typical High $1,071.52 | Professional | 63 · Small infant | $794.33 | $912.01 | $1,071.52 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $363.08 Typical High $389.05 | Professional | 52 · Reduced service | $229.09 | $363.08 | $389.05 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $144.54 Typical High $158.49 | Professional | 53 · Discontinued | $93.33 | $144.54 | $158.49 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $107.15 Typical High $117.49 | Professional | 55 · Aftercare only | $69.18 | $107.15 | $117.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $72.44 Typical High $77.62 | Professional | 56 · Pre-op care only | $46.77 | $72.44 | $77.62 |
MountainHealth Co-op Setting Professional Modifier 50 · Both sides Typical Low $1,202.26 Median $1,202.26 Typical High $1,318.26 | Professional | 50 · Both sides | $1,202.26 | $1,202.26 | $1,318.26 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $87.10 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $87.10 |
Where Idaho sits
The same service costs 5.1 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· 8th of 51
$724
AK $1,479UT $288
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.