How much rates vary
Facilitymedian $2,188 · 10th to 90th $1,047 to $7,762Professionalmedian $1,047 · 10th to 90th $708 to $1,259
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 $2,884.03 Median $4,466.84 Typical High $7,762.47 | Facility | None | $2,884.03 | $4,466.84 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $1,148.15 Typical High $1,148.15 | Professional | None | $741.31 | $1,148.15 | $1,148.15 |
BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $2,691.53 Typical High $8,511.38 | Facility | None | $1,548.82 | $2,691.53 | $8,511.38 |
BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,174.90 | Professional | None | $954.99 | $1,148.15 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $2,041.74 Typical High $2,754.23 | Facility | None | $1,819.70 | $2,041.74 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $891.25 | Professional | None | $660.69 | $776.25 | $891.25 |
Moda Health Setting Facility Modifier None Typical Low $616.60 Median $1,148.15 Typical High $5,495.41 | Facility | None | $616.60 | $1,148.15 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $741.31 Median $1,148.15 Typical High $1,380.38 | Professional | None | $741.31 | $1,148.15 | $1,380.38 |
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 $851.14 Median $1,047.13 Typical High $1,047.13 | Facility | None | $851.14 | $1,047.13 | $1,047.13 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,318.26 | Professional | None | $1,047.13 | $1,047.13 | $1,318.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,495.41 Median $7,762.47 Typical High $10,715.19 | Facility | None | $5,495.41 | $7,762.47 | $10,715.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $1,380.38 | Professional | None | $1,047.13 | $1,148.15 | $1,380.38 |
Select Health Setting Facility Modifier None Typical Low $501.19 Median $512.86 Typical High $3,890.45 | Facility | None | $501.19 | $512.86 | $3,890.45 |
Select Health Setting Professional Modifier None Typical Low $501.19 Median $575.44 Typical High $1,862.09 | Professional | None | $501.19 | $575.44 | $1,862.09 |
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 $588.84 Median $812.83 Typical High $1,148.15 | Professional | None | $588.84 | $812.83 | $1,148.15 |
22 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 $371.54 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $371.54 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $147.91 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $549.54 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $109.65 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $74.13 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $512.86 | $812.83 | $812.83 |
BCBS Setting Facility Modifier 50 · Both sides Typical Low $2,238.72 Median $3,715.35 Typical High $12,589.25 | Facility | 50 · Both sides | $2,238.72 | $3,715.35 | $12,589.25 |
BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,445.44 Median $1,621.81 Typical High $1,778.28 | Professional | 50 · Both sides | $1,445.44 | $1,621.81 | $1,778.28 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $977.24 Typical High $1,047.13 | Professional | 54 · Surgery only | $870.96 | $977.24 | $1,047.13 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $107.15 Typical High $117.49 | Professional | 55 · Aftercare only | $95.50 | $107.15 | $117.49 |
BCBS Setting Professional Modifier 63 · Small infant Typical Low $1,148.15 Median $1,288.25 Typical High $1,412.54 | Professional | 63 · Small infant | $1,148.15 | $1,288.25 | $1,412.54 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $758.58 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $676.08 | $758.58 | $812.83 |
BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $154.88 Median $173.78 Typical High $186.21 | Professional | 80 · Assistant surgeon | $154.88 | $173.78 | $186.21 |
BCBS Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $154.88 Median $173.78 Typical High $186.21 | Professional | 81 · Minimal assistant surgeon | $154.88 | $173.78 | $186.21 |
BCBS Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $154.88 Median $173.78 Typical High $186.21 | Professional | 82 · Assistant surgeon, no resident | $154.88 | $173.78 | $186.21 |
BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $131.83 Median $147.91 Typical High $158.49 | Professional | AS · PA/NP assist | $131.83 | $147.91 | $158.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $371.54 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $371.54 | $575.44 | $575.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $147.91 | $234.42 | $234.42 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $549.54 | $870.96 | $870.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $109.65 | $173.78 | $173.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $74.13 | $114.82 | $114.82 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $512.86 | $812.83 | $812.83 |
Where Idaho sits
The same service costs 8.9 times more in Alaska than in Texas. 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
$1,122
AK $2,344TX $263
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.