How much rates vary
Facilitymedian $1,698 · 10th to 90th $871 to $7,244Professionalmedian $871 · 10th to 90th $575 to $1,023
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 $478.63 Median $954.99 Typical High $954.99 | Professional | None | $478.63 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $707.95 Typical High $707.95 | Professional | 54 · Surgery only | $446.68 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $660.69 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $416.87 | $660.69 | $660.69 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,698.24 Median $2,691.53 Typical High $7,413.10 | Facility | None | $1,698.24 | $2,691.53 | $7,413.10 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $2,511.89 Median $3,981.07 Typical High $11,220.18 | Facility | 50 · Both sides | $2,511.89 | $3,981.07 | $11,220.18 |
BCBS Idaho Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $977.24 | Professional | None | $794.33 | $933.25 | $977.24 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $1,202.26 Median $1,348.96 Typical High $1,445.44 | Professional | 50 · Both sides | $1,202.26 | $1,348.96 | $1,445.44 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $794.33 Typical High $870.96 | Professional | 54 · Surgery only | $724.44 | $794.33 | $870.96 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $616.60 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $562.34 | $616.60 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $2,089.30 | Facility | None | $1,380.38 | $1,548.82 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $645.65 Typical High $724.44 | Professional | None | $562.34 | $645.65 | $724.44 |
Moda Health Setting Facility Modifier None Typical Low $407.38 Median $954.99 Typical High $5,495.41 | Facility | None | $407.38 | $954.99 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $588.84 Median $954.99 Typical High $1,122.02 | Professional | None | $588.84 | $954.99 | $1,122.02 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $707.95 Typical High $707.95 | Professional | 54 · Surgery only | $446.68 | $707.95 | $707.95 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $660.69 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $416.87 | $660.69 | $660.69 |
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 $707.95 Median $870.96 Typical High $870.96 | Facility | None | $707.95 | $870.96 | $870.96 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,096.48 | Professional | None | $870.96 | $870.96 | $1,096.48 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,570.88 Median $6,606.93 Typical High $9,332.54 | Facility | None | $4,570.88 | $6,606.93 | $9,332.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $1,122.02 | Professional | None | $851.14 | $954.99 | $1,122.02 |
Select Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $436.52 | Facility | None | $407.38 | $407.38 | $436.52 |
Select Health Setting Professional Modifier None Typical Low $407.38 Median $467.74 Typical High $1,412.54 | Professional | None | $407.38 | $467.74 | $1,412.54 |
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 $512.86 Median $676.08 Typical High $1,000.00 | Professional | None | $512.86 | $676.08 | $1,000.00 |
2 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 55 · Aftercare only Typical Low $79.43 Median $89.13 Typical High $97.72 | Professional | 55 · Aftercare only | $79.43 | $89.13 | $97.72 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $954.99 Median $1,071.52 Typical High $1,148.15 | Professional | 63 · Small infant | $954.99 | $1,071.52 | $1,148.15 |
Where Idaho sits
The same service costs 4.4 times more in Colorado than in Montana. 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
CO $6,812MT $1,536
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.