How much rates vary
Facilitymedian $851 · 10th to 90th $550 to $3,715Professionalmedian $1,445 · 10th to 90th $891 to $2,399
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 $912.01 Median $2,398.83 Typical High $2,398.83 | Professional | None | $912.01 | $2,398.83 | $2,398.83 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,884.03 Median $3,090.30 Typical High $3,715.35 | Facility | None | $2,884.03 | $3,090.30 | $3,715.35 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,318.26 Median $1,548.82 Typical High $1,621.81 | Professional | None | $1,318.26 | $1,548.82 | $1,621.81 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,318.26 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,174.90 | $1,318.26 | $1,479.11 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,023.29 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $912.01 | $1,023.29 | $1,148.15 |
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 $977.24 Median $1,174.90 Typical High $1,348.96 | Professional | None | $977.24 | $1,174.90 | $1,348.96 |
Moda Health Setting Facility Modifier None Typical Low $691.83 Median $2,398.83 Typical High $5,495.41 | Facility | None | $691.83 | $2,398.83 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,479.11 Typical High $2,398.83 | Professional | None | $1,047.13 | $1,479.11 | $2,398.83 |
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 $1,174.90 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,174.90 | $1,445.44 | $1,445.44 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,479.11 | Professional | None | $1,445.44 | $1,445.44 | $1,479.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,479.11 Median $1,584.89 Typical High $1,698.24 | Professional | None | $1,479.11 | $1,584.89 | $1,698.24 |
Select Health Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $741.31 | Facility | None | $691.83 | $691.83 | $741.31 |
Select Health Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,000.00 | Professional | None | $691.83 | $691.83 | $1,000.00 |
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 $794.33 Median $1,202.26 Typical High $1,737.80 | Professional | None | $794.33 | $1,202.26 | $1,737.80 |
2 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 Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $144.54 Typical High $162.18 | Professional | 55 · Aftercare only | $131.83 | $144.54 | $162.18 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,584.89 Median $1,737.80 Typical High $1,949.84 | Professional | 63 · Small infant | $1,584.89 | $1,737.80 | $1,949.84 |
Where Idaho sits
The same service costs 10.7 times more in Colorado than in Maryland. 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.
Physician feeFacility fee
CO $15,603MD $1,454
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.