How much rates vary
Facilitymedian $2,042 · 10th to 90th $661 to $7,762Professionalmedian $589 · 10th to 90th $389 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 $3,388.44 Median $4,466.84 Typical High $8,709.64 | Facility | None | $3,388.44 | $4,466.84 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $575.44 Typical High $870.96 | Professional | None | $354.81 | $575.44 | $870.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $436.52 Typical High $645.65 | Professional | 54 · Surgery only | $269.15 | $436.52 | $645.65 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,621.81 Median $2,691.53 Typical High $8,511.38 | Facility | None | $1,621.81 | $2,691.53 | $8,511.38 |
BCBS Idaho Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $870.96 | Professional | None | $478.63 | $630.96 | $870.96 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $549.54 Typical High $812.83 | Professional | 54 · Surgery only | $436.52 | $549.54 | $812.83 |
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 $380.19 Median $478.63 Typical High $676.08 | Professional | None | $380.19 | $478.63 | $676.08 |
Moda Health Setting Facility Modifier None Typical Low $354.81 Median $831.76 Typical High $5,495.41 | Facility | None | $354.81 | $831.76 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $436.52 Median $676.08 Typical High $870.96 | Professional | None | $436.52 | $676.08 | $870.96 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $436.52 Typical High $645.65 | Professional | 54 · Surgery only | $269.15 | $436.52 | $645.65 |
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 $524.81 Median $524.81 Typical High $794.33 | Facility | None | $524.81 | $524.81 | $794.33 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $524.81 Median $660.69 Typical High $1,023.29 | Professional | None | $524.81 | $660.69 | $1,023.29 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $660.69 | Professional | 54 · Surgery only | $446.68 | $446.68 | $660.69 |
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 $562.34 Median $676.08 Typical High $1,000.00 | Professional | None | $562.34 | $676.08 | $1,000.00 |
Select Health Setting Facility Modifier None Typical Low $380.19 Median $389.05 Typical High $3,981.07 | Facility | None | $380.19 | $389.05 | $3,981.07 |
Select Health Setting Professional Modifier None Typical Low $288.40 Median $380.19 Typical High $1,862.09 | Professional | None | $288.40 | $380.19 | $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 $309.03 Median $512.86 Typical High $851.14 | Professional | None | $309.03 | $512.86 | $851.14 |
20 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 $177.83 Median $288.40 Typical High $426.58 | Professional | 52 · Reduced service | $177.83 | $288.40 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $114.82 Typical High $173.78 | Professional | 53 · Discontinued | $70.79 | $114.82 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $87.10 Typical High $128.82 | Professional | 55 · Aftercare only | $53.70 | $87.10 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $57.54 Typical High $87.10 | Professional | 56 · Pre-op care only | $35.48 | $57.54 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $407.38 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $251.19 | $407.38 | $602.56 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $2,398.83 Median $3,981.07 Typical High $12,589.25 | Facility | 50 · Both sides | $2,398.83 | $3,981.07 | $12,589.25 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $724.44 Median $1,122.02 Typical High $1,348.96 | Professional | 50 · Both sides | $724.44 | $1,122.02 | $1,348.96 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $58.88 Typical High $87.10 | Professional | 55 · Aftercare only | $47.86 | $58.88 | $87.10 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $302.00 Median $446.68 Typical High $549.54 | Professional | 62 · Two surgeons | $302.00 | $446.68 | $549.54 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $575.44 Median $912.01 Typical High $1,071.52 | Professional | 63 · Small infant | $575.44 | $912.01 | $1,071.52 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $407.38 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $338.84 | $407.38 | $575.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $288.40 Typical High $426.58 | Professional | 52 · Reduced service | $177.83 | $288.40 | $426.58 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $114.82 Typical High $173.78 | Professional | 53 · Discontinued | $70.79 | $114.82 | $173.78 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $87.10 Typical High $128.82 | Professional | 55 · Aftercare only | $53.70 | $87.10 | $128.82 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $57.54 Typical High $87.10 | Professional | 56 · Pre-op care only | $35.48 | $57.54 | $87.10 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $407.38 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $251.19 | $407.38 | $602.56 |
MountainHealth Co-op Setting Professional Modifier 50 · Both sides Typical Low $954.99 Median $954.99 Typical High $1,412.54 | Professional | 50 · Both sides | $954.99 | $954.99 | $1,412.54 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $93.33 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $93.33 |
MountainHealth Co-op Setting Professional Modifier 62 · Two surgeons Typical Low $398.11 Median $398.11 Typical High $588.84 | Professional | 62 · Two surgeons | $398.11 | $398.11 | $588.84 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $707.95 |
Where Idaho sits
The same service costs 5.9 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· 14th of 51
$589
AK $1,413UT $240
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.