How much rates vary
Facilitymedian $5,888 · 10th to 90th $1,820 to $17,378Professionalmedian $1,698 · 10th to 90th $1,202 to $2,089
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 $977.24 Median $1,949.84 Typical High $1,949.84 | Professional | None | $977.24 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,479.11 Typical High $1,479.11 | Professional | 54 · Surgery only | $912.01 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,380.38 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $851.14 | $1,380.38 | $1,380.38 |
BCBS Idaho Setting Facility Modifier None Typical Low $3,801.89 Median $6,606.93 Typical High $18,620.87 | Facility | None | $3,801.89 | $6,606.93 | $18,620.87 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,548.82 Median $1,819.70 Typical High $1,905.46 | Professional | None | $1,548.82 | $1,819.70 | $1,905.46 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,548.82 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,412.54 | $1,548.82 | $1,698.24 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,202.26 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,202.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $5,248.07 Median $5,888.44 Typical High $7,943.28 | Facility | None | $5,248.07 | $5,888.44 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $1,513.56 | Professional | None | $1,148.15 | $1,318.26 | $1,513.56 |
Moda Health Setting Facility Modifier None Typical Low $1,230.27 Median $2,818.38 Typical High $16,982.44 | Facility | None | $1,230.27 | $2,818.38 | $16,982.44 |
Moda Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,949.84 Typical High $2,290.87 | Professional | None | $1,230.27 | $1,949.84 | $2,290.87 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,479.11 Typical High $1,479.11 | Professional | 54 · Surgery only | $912.01 | $1,479.11 | $1,479.11 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,380.38 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $851.14 | $1,380.38 | $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 $1,380.38 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,380.38 | $1,698.24 | $1,698.24 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,137.96 | Professional | None | $1,698.24 | $1,698.24 | $2,137.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $12,022.64 Median $17,378.01 Typical High $23,442.29 | Facility | None | $12,022.64 | $17,378.01 | $23,442.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,737.80 Median $1,905.46 Typical High $2,290.87 | Professional | None | $1,737.80 | $1,905.46 | $2,290.87 |
Select Health Setting Facility Modifier None Typical Low $794.33 Median $812.83 Typical High $13,182.57 | Facility | None | $794.33 | $812.83 | $13,182.57 |
Select Health Setting Professional Modifier None Typical Low $794.33 Median $954.99 Typical High $5,370.32 | Professional | None | $794.33 | $954.99 | $5,370.32 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,818.38 Typical High $4,265.80 | Facility | None | $1,288.25 | $2,818.38 | $4,265.80 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $1,949.84 | Professional | None | $1,023.29 | $1,380.38 | $1,949.84 |
5 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 Facility Modifier 50 · Both sides Typical Low $5,623.41 Median $10,000.00 Typical High $28,183.83 | Facility | 50 · Both sides | $5,623.41 | $10,000.00 | $28,183.83 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $2,344.23 Median $2,630.27 Typical High $2,818.38 | Professional | 50 · Both sides | $2,344.23 | $2,630.27 | $2,818.38 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $173.78 Typical High $190.55 | Professional | 55 · Aftercare only | $154.88 | $173.78 | $190.55 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $977.24 Median $1,096.48 Typical High $1,174.90 | Professional | 62 · Two surgeons | $977.24 | $1,096.48 | $1,174.90 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,862.09 Median $2,089.30 Typical High $2,238.72 | Professional | 63 · Small infant | $1,862.09 | $2,089.30 | $2,238.72 |
Where Idaho sits
The same service costs 5.8 times more in Colorado than in Kentucky. 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 $14,501KY $2,497
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.