How much rates vary
Facilitymedian $676 · 10th to 90th $339 to $1,778Professionalmedian $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 $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 $302.00 Median $398.11 Typical High $933.25 | Professional | None | $302.00 | $398.11 | $933.25 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,148.15 Median $1,230.27 Typical High $1,584.89 | Facility | None | $1,148.15 | $1,230.27 | $1,584.89 |
BCBS Idaho Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $602.56 | Professional | None | $478.63 | $562.34 | $602.56 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $501.19 Typical High $537.03 | Professional | 54 · Surgery only | $426.58 | $501.19 | $537.03 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $54.95 Typical High $60.26 | Professional | 55 · Aftercare only | $47.86 | $54.95 | $60.26 |
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 $380.19 Median $478.63 Typical High $524.81 | Professional | None | $380.19 | $478.63 | $524.81 |
Moda Health Setting Facility Modifier None Typical Low $251.19 Median $933.25 Typical High $5,495.41 | Facility | None | $251.19 | $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 $436.52 Median $537.03 Typical High $537.03 | Facility | None | $436.52 | $537.03 | $537.03 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $630.96 | Professional | None | $575.44 | $602.56 | $630.96 |
Select Health Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $275.42 | Facility | None | $251.19 | $251.19 | $275.42 |
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 $436.52 Median $676.08 Typical High $870.96 | Facility | None | $436.52 | $676.08 | $870.96 |
United Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $660.69 | Professional | None | $331.13 | $446.68 | $660.69 |
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 63 · Small infant Typical Low $575.44 Median $660.69 Typical High $724.44 | Professional | 63 · Small infant | $575.44 | $660.69 | $724.44 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $389.05 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $338.84 | $389.05 | $416.87 |
Where Idaho sits
The same service costs 6.1 times more in Alaska 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
AK $5,496MD $901
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.