How much rates vary
Facilitymedian $603 · 10th to 90th $229 to $3,981Professionalmedian $309 · 10th to 90th $178 to $525
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 $181.97 Median $323.59 Typical High $602.56 | Professional | None | $181.97 | $323.59 | $602.56 |
BCBS Idaho Setting Facility Modifier None Typical Low $245.47 Median $1,348.96 Typical High $3,981.07 | Facility | None | $245.47 | $1,348.96 | $3,981.07 |
BCBS Idaho Setting Professional Modifier None Typical Low $213.80 Median $363.08 Typical High $524.81 | Professional | None | $213.80 | $363.08 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $229.09 Typical High $309.03 | Facility | None | $204.17 | $229.09 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $269.15 Typical High $389.05 | Professional | None | $177.83 | $269.15 | $389.05 |
Moda Health Setting Facility Modifier None Typical Low $144.54 Median $457.09 Typical High $5,495.41 | Facility | None | $144.54 | $457.09 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $194.98 Median $323.59 Typical High $602.56 | Professional | None | $194.98 | $323.59 | $602.56 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $478.63 | Facility | None | $234.42 | $234.42 | $478.63 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $234.42 Median $281.84 Typical High $478.63 | Professional | None | $234.42 | $281.84 | $478.63 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,630.27 Median $3,715.35 Typical High $5,011.87 | Facility | None | $2,630.27 | $3,715.35 | $5,011.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $257.04 Median $281.84 Typical High $501.19 | Professional | None | $257.04 | $281.84 | $501.19 |
Select Health Setting Facility Modifier None Typical Low $229.09 Median $234.42 Typical High $2,089.30 | Facility | None | $229.09 | $234.42 | $2,089.30 |
Select Health Setting Professional Modifier None Typical Low $147.91 Median $229.09 Typical High $309.03 | Professional | None | $147.91 | $229.09 | $309.03 |
United Setting Facility Modifier None Typical Low $549.54 Median $676.08 Typical High $954.99 | Facility | None | $549.54 | $676.08 | $954.99 |
United Setting Professional Modifier None Typical Low $141.25 Median $257.04 Typical High $436.52 | Professional | None | $141.25 | $257.04 | $436.52 |
18 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 $91.20 Median $158.49 Typical High $302.00 | Professional | 52 · Reduced service | $91.20 | $158.49 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $64.57 Typical High $120.23 | Professional | 53 · Discontinued | $36.31 | $64.57 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $239.88 Typical High $457.09 | Professional | 54 · Surgery only | $134.90 | $239.88 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $47.86 Typical High $91.20 | Professional | 55 · Aftercare only | $26.92 | $47.86 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $32.36 Typical High $60.26 | Professional | 56 · Pre-op care only | $18.20 | $32.36 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $223.87 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $125.89 | $223.87 | $426.58 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $371.54 Median $1,819.70 Typical High $6,025.60 | Facility | 50 · Both sides | $371.54 | $1,819.70 | $6,025.60 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $323.59 Median $380.19 Typical High $741.31 | Professional | 50 · Both sides | $323.59 | $380.19 | $741.31 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $389.05 Typical High $467.74 | Professional | 54 · Surgery only | $194.98 | $389.05 | $467.74 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $40.74 Typical High $52.48 | Professional | 55 · Aftercare only | $21.38 | $40.74 | $52.48 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $257.04 Median $316.23 Typical High $645.65 | Professional | 63 · Small infant | $257.04 | $316.23 | $645.65 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $181.97 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $151.36 | $181.97 | $363.08 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $158.49 Typical High $302.00 | Professional | 52 · Reduced service | $91.20 | $158.49 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $64.57 Typical High $120.23 | Professional | 53 · Discontinued | $36.31 | $64.57 | $120.23 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $239.88 Typical High $457.09 | Professional | 54 · Surgery only | $134.90 | $239.88 | $457.09 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $47.86 Typical High $91.20 | Professional | 55 · Aftercare only | $26.92 | $47.86 | $91.20 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $32.36 Typical High $60.26 | Professional | 56 · Pre-op care only | $18.20 | $32.36 | $60.26 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $223.87 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $125.89 | $223.87 | $426.58 |
Where Idaho sits
The same service costs 4.3 times more in Alaska 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.
Idaho· 11th of 51
$324
AK $589KY $138
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.