How much rates vary
Facilitymedian $468 · 10th to 90th $229 to $1,622Professionalmedian $178 · 10th to 90th $129 to $288
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 $4,466.84 Typical High $5,495.41 | Facility | None | $4,466.84 | $4,466.84 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $229.09 Typical High $316.23 | Professional | None | $123.03 | $229.09 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $169.82 Typical High $234.42 | Professional | 54 · Surgery only | $91.20 | $169.82 | $234.42 |
BCBS Idaho Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $1,621.81 | Facility | None | $457.09 | $724.44 | $1,621.81 |
BCBS Idaho Setting Professional Modifier None Typical Low $151.36 Median $204.17 Typical High $288.40 | Professional | None | $151.36 | $204.17 | $288.40 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $158.49 Typical High $218.78 | Professional | 54 · Surgery only | $134.90 | $158.49 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $426.58 Typical High $575.44 | Facility | None | $380.19 | $426.58 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $204.17 | Professional | None | $131.83 | $162.18 | $204.17 |
Moda Health Setting Facility Modifier None Typical Low $109.65 Median $229.09 Typical High $4,466.84 | Facility | None | $109.65 | $229.09 | $4,466.84 |
Moda Health Setting Professional Modifier None Typical Low $134.90 Median $229.09 Typical High $316.23 | Professional | None | $134.90 | $229.09 | $316.23 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $169.82 Typical High $234.42 | Professional | 54 · Surgery only | $91.20 | $169.82 | $234.42 |
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 $162.18 Median $162.18 Typical High $263.03 | Facility | None | $162.18 | $162.18 | $263.03 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $162.18 Median $186.21 Typical High $263.03 | Professional | None | $162.18 | $186.21 | $263.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,047.13 Median $1,513.56 Typical High $2,041.74 | Facility | None | $1,047.13 | $1,513.56 | $2,041.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $177.83 Median $186.21 Typical High $251.19 | Professional | None | $177.83 | $186.21 | $251.19 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $128.82 Typical High $1,318.26 | Facility | None | $125.89 | $128.82 | $1,318.26 |
Select Health Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $162.18 | Professional | None | $102.33 | $125.89 | $162.18 |
United Setting Facility Modifier None Typical Low $363.08 Median $501.19 Typical High $724.44 | Facility | None | $363.08 | $501.19 | $724.44 |
United Setting Professional Modifier None Typical Low $100.00 Median $154.88 Typical High $257.04 | Professional | None | $100.00 | $154.88 | $257.04 |
11 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 $61.66 Median $114.82 Typical High $154.88 | Professional | 52 · Reduced service | $61.66 | $114.82 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $45.71 Typical High $63.10 | Professional | 53 · Discontinued | $24.55 | $45.71 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $33.88 Typical High $46.77 | Professional | 55 · Aftercare only | $18.20 | $33.88 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $22.91 Typical High $31.62 | Professional | 56 · Pre-op care only | $12.30 | $22.91 | $31.62 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $18.20 Typical High $28.84 | Professional | 55 · Aftercare only | $15.14 | $18.20 | $28.84 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $204.17 Median $218.78 Typical High $302.00 | Professional | 63 · Small infant | $204.17 | $218.78 | $302.00 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $128.82 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $107.15 | $128.82 | $199.53 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $114.82 Typical High $154.88 | Professional | 52 · Reduced service | $61.66 | $114.82 | $154.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $45.71 Typical High $63.10 | Professional | 53 · Discontinued | $24.55 | $45.71 | $63.10 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $33.88 Typical High $46.77 | Professional | 55 · Aftercare only | $18.20 | $33.88 | $46.77 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $22.91 Typical High $31.62 | Professional | 56 · Pre-op care only | $12.30 | $22.91 | $31.62 |
Where Idaho sits
The same service costs 3.5 times more in Alaska than in Indiana. 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
$224
AK $447IN $126
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.