How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,072 to $14,125Professionalmedian $933 · 10th to 90th $224 to $5,129
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 $4,466.84 Median $4,786.30 Typical High $6,918.31 | Facility | None | $4,466.84 | $4,786.30 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $2,570.40 Typical High $6,309.57 | Professional | None | $186.21 | $2,570.40 | $6,309.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $309.03 Typical High $4,786.30 | Professional | 54 · Surgery only | $169.82 | $309.03 | $4,786.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $61.66 Typical High $954.99 | Professional | 55 · Aftercare only | $33.88 | $61.66 | $954.99 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,454.71 Median $5,888.44 Typical High $17,782.79 | Facility | None | $2,454.71 | $5,888.44 | $17,782.79 |
BCBS Idaho Setting Professional Modifier None Typical Low $263.03 Median $3,548.13 Typical High $5,011.87 | Professional | None | $263.03 | $3,548.13 | $5,011.87 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $275.42 Typical High $4,168.69 | Professional | 54 · Surgery only | $234.42 | $275.42 | $4,168.69 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $354.81 Typical High $501.19 | Professional | 55 · Aftercare only | $29.51 | $354.81 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $4,570.88 Median $5,128.61 Typical High $7,079.46 | Facility | None | $4,570.88 | $5,128.61 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $363.08 Typical High $4,365.16 | Professional | None | $234.42 | $363.08 | $4,365.16 |
Moda Health Setting Facility Modifier None Typical Low $223.87 Median $4,265.80 Typical High $6,918.31 | Facility | None | $223.87 | $4,265.80 | $6,918.31 |
Moda Health Setting Professional Modifier None Typical Low $239.88 Median $2,691.53 Typical High $6,309.57 | Professional | None | $239.88 | $2,691.53 | $6,309.57 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $309.03 Typical High $4,786.30 | Professional | 54 · Surgery only | $169.82 | $309.03 | $4,786.30 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $61.66 Typical High $954.99 | Professional | 55 · Aftercare only | $33.88 | $61.66 | $954.99 |
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 $281.84 Median $281.84 Typical High $4,570.88 | Facility | None | $281.84 | $281.84 | $4,570.88 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $281.84 Median $933.25 Typical High $4,677.35 | Professional | None | $281.84 | $933.25 | $4,677.35 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,772.37 Median $14,125.38 Typical High $19,054.61 | Facility | None | $9,772.37 | $14,125.38 | $19,054.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $323.59 Median $363.08 Typical High $5,011.87 | Professional | None | $323.59 | $363.08 | $5,011.87 |
Select Health Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $3,019.95 | Facility | None | $2,187.76 | $2,187.76 | $3,019.95 |
Select Health Setting Professional Modifier None Typical Low $177.83 Median $2,187.76 Typical High $2,951.21 | Professional | None | $177.83 | $2,187.76 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,238.72 Typical High $3,388.44 | Facility | None | $1,698.24 | $2,238.72 | $3,388.44 |
United Setting Professional Modifier None Typical Low $190.55 Median $2,570.40 Typical High $5,495.41 | Professional | None | $190.55 | $2,570.40 | $5,495.41 |
8 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 $112.20 Median $204.17 Typical High $3,162.28 | Professional | 52 · Reduced service | $112.20 | $204.17 | $3,162.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $81.28 Typical High $1,258.93 | Professional | 53 · Discontinued | $44.67 | $81.28 | $1,258.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $40.74 Typical High $630.96 | Professional | 56 · Pre-op care only | $22.39 | $40.74 | $630.96 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $316.23 Median $5,128.61 Typical High $6,165.95 | Professional | 63 · Small infant | $316.23 | $5,128.61 | $6,165.95 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $213.80 Typical High $3,311.31 | Professional | 78 · Unplanned return to OR | $181.97 | $213.80 | $3,311.31 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $204.17 Typical High $3,162.28 | Professional | 52 · Reduced service | $112.20 | $204.17 | $3,162.28 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $81.28 Typical High $1,258.93 | Professional | 53 · Discontinued | $44.67 | $81.28 | $1,258.93 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $40.74 Typical High $630.96 | Professional | 56 · Pre-op care only | $22.39 | $40.74 | $630.96 |
Where Idaho sits
The same service costs 33.1 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· 7th of 51
$3,388
AK $5,495KY $166
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.