How much rates vary
Facilitymedian $2,239 · 10th to 90th $933 to $7,943Professionalmedian $525 · 10th to 90th $339 to $933
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 $2,884.03 Median $4,466.84 Typical High $7,762.47 | Facility | None | $2,884.03 | $4,466.84 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $407.38 Typical High $933.25 | Professional | None | $302.00 | $407.38 | $933.25 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,238.72 Median $3,981.07 Typical High $8,317.64 | Facility | None | $2,238.72 | $3,981.07 | $8,317.64 |
BCBS Idaho Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $616.60 | Professional | None | $478.63 | $562.34 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,995.26 Typical High $2,691.53 | Facility | None | $1,778.28 | $1,995.26 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $512.86 | Professional | None | $380.19 | $446.68 | $512.86 |
Moda Health Setting Facility Modifier None Typical Low $363.08 Median $933.25 Typical High $5,495.41 | Facility | None | $363.08 | $933.25 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $398.11 Median $575.44 Typical High $933.25 | Professional | None | $398.11 | $575.44 | $933.25 |
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 $426.58 Median $524.81 Typical High $524.81 | Facility | None | $426.58 | $524.81 | $524.81 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $5,011.87 | Professional | None | $524.81 | $524.81 | $5,011.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,495.41 Median $7,943.28 Typical High $10,471.29 | Facility | None | $5,495.41 | $7,943.28 | $10,471.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $575.44 Median $616.60 Typical High $645.65 | Professional | None | $575.44 | $616.60 | $645.65 |
Select Health Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $5,888.44 | Facility | None | $251.19 | $251.19 | $5,888.44 |
Select Health Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $380.19 | Professional | None | $251.19 | $251.19 | $380.19 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,819.70 Typical High $2,398.83 | Facility | None | $1,412.54 | $1,819.70 | $2,398.83 |
United Setting Professional Modifier None Typical Low $316.23 Median $446.68 Typical High $660.69 | Professional | None | $316.23 | $446.68 | $660.69 |
4 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 54 · Surgery only Typical Low $426.58 Median $501.19 Typical High $524.81 | Professional | 54 · Surgery only | $426.58 | $501.19 | $524.81 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $56.23 Typical High $58.88 | Professional | 55 · Aftercare only | $46.77 | $56.23 | $58.88 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $562.34 Median $676.08 Typical High $707.95 | Professional | 63 · Small infant | $562.34 | $676.08 | $707.95 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $389.05 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $331.13 | $389.05 | $407.38 |
Where Idaho sits
The same service costs 8.0 times more in Connecticut than in Montana. 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
CT $7,419MT $925
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.