How much rates vary
Facilitymedian $1,175 · 10th to 90th $550 to $5,888Professionalmedian $2,455 · 10th to 90th $1,514 to $4,074
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 $1,513.56 Median $4,073.80 Typical High $4,073.80 | Professional | None | $1,513.56 | $4,073.80 | $4,073.80 |
BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $5,495.41 Typical High $7,762.47 | Facility | None | $5,011.87 | $5,495.41 | $7,762.47 |
BCBS Setting Professional Modifier None Typical Low $2,238.72 Median $2,630.27 Typical High $2,754.23 | Professional | None | $2,238.72 | $2,630.27 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $1,380.38 Typical High $12,589.25 | Facility | None | $151.36 | $1,380.38 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,995.26 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,995.26 | $2,290.87 |
Moda Health Setting Facility Modifier None Typical Low $1,174.90 Median $4,073.80 Typical High $5,754.40 | Facility | None | $1,174.90 | $4,073.80 | $5,754.40 |
Moda Health Setting Professional Modifier None Typical Low $1,698.24 Median $2,511.89 Typical High $4,073.80 | Professional | None | $1,698.24 | $2,511.89 | $4,073.80 |
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 $2,041.74 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,041.74 | $2,454.71 | $2,454.71 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,511.89 | Professional | None | $2,454.71 | $2,454.71 | $2,511.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,511.89 Median $2,691.53 Typical High $2,818.38 | Professional | None | $2,511.89 | $2,691.53 | $2,818.38 |
Select Health Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,258.93 | Facility | None | $1,174.90 | $1,174.90 | $1,258.93 |
Select Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,659.59 | Professional | None | $1,174.90 | $1,174.90 | $1,659.59 |
United Setting Facility Modifier None Typical Low $436.52 Median $676.08 Typical High $870.96 | Facility | None | $436.52 | $676.08 | $870.96 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $2,951.21 | Professional | None | $1,348.96 | $2,041.74 | $2,951.21 |
9 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 Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,187.76 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,995.26 | $2,187.76 | $2,511.89 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $245.47 Typical High $275.42 | Professional | 55 · Aftercare only | $223.87 | $245.47 | $275.42 |
BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,380.38 Median $1,513.56 Typical High $1,737.80 | Professional | 62 · Two surgeons | $1,380.38 | $1,513.56 | $1,737.80 |
BCBS Setting Professional Modifier 63 · Small infant Typical Low $2,691.53 Median $2,951.21 Typical High $3,311.31 | Professional | 63 · Small infant | $2,691.53 | $2,951.21 | $3,311.31 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,698.24 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,698.24 | $1,949.84 |
BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $354.81 Median $389.05 Typical High $446.68 | Professional | 80 · Assistant surgeon | $354.81 | $389.05 | $446.68 |
BCBS Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $354.81 Median $389.05 Typical High $446.68 | Professional | 81 · Minimal assistant surgeon | $354.81 | $389.05 | $446.68 |
BCBS Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $354.81 Median $389.05 Typical High $446.68 | Professional | 82 · Assistant surgeon, no resident | $354.81 | $389.05 | $446.68 |
BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $302.00 Median $331.13 Typical High $380.19 | Professional | AS · PA/NP assist | $302.00 | $331.13 | $380.19 |
Where Idaho sits
The same service costs 5.4 times more in Alaska than in Texas. 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· 13th of 51
$2,291
AK $5,370TX $1,000
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.