How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,230 to $13,183Professionalmedian $1,023 · 10th to 90th $661 to $1,738
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 $4,786.30 Typical High $6,918.31 | Facility | None | $4,466.84 | $4,786.30 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $1,737.80 Typical High $1,737.80 | Professional | None | $575.44 | $1,737.80 | $1,737.80 |
BCBS Idaho Setting Facility Modifier None Typical Low $4,168.69 Median $7,079.46 Typical High $14,454.40 | Facility | None | $4,168.69 | $7,079.46 | $14,454.40 |
BCBS Idaho Setting Professional Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,148.15 | Professional | None | $933.25 | $1,096.48 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $3,890.45 Typical High $5,370.32 | Facility | None | $3,467.37 | $3,890.45 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $851.14 Typical High $977.24 | Professional | None | $724.44 | $851.14 | $977.24 |
Moda Health Setting Facility Modifier None Typical Low $707.95 Median $1,737.80 Typical High $5,495.41 | Facility | None | $707.95 | $1,737.80 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $758.58 Median $1,096.48 Typical High $1,737.80 | Professional | None | $758.58 | $1,096.48 | $1,737.80 |
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 $831.76 Median $1,023.29 Typical High $1,023.29 | Facility | None | $831.76 | $1,023.29 | $1,023.29 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $8,511.38 | Professional | None | $1,023.29 | $1,023.29 | $8,511.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,332.54 Median $13,182.57 Typical High $17,782.79 | Facility | None | $9,332.54 | $13,182.57 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $1,202.26 | Professional | None | $1,096.48 | $1,148.15 | $1,202.26 |
Select Health Setting Facility Modifier None Typical Low $478.63 Median $489.78 Typical High $8,317.64 | Facility | None | $478.63 | $489.78 | $8,317.64 |
Select Health Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $707.95 | Professional | None | $478.63 | $478.63 | $707.95 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,818.38 Typical High $4,265.80 | Facility | None | $1,288.25 | $2,818.38 | $4,265.80 |
United Setting Professional Modifier None Typical Low $616.60 Median $891.25 Typical High $1,288.25 | Professional | None | $616.60 | $891.25 | $1,288.25 |
5 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 $812.83 Median $954.99 Typical High $1,023.29 | Professional | 54 · Surgery only | $812.83 | $954.99 | $1,023.29 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $104.71 Typical High $114.82 | Professional | 55 · Aftercare only | $91.20 | $104.71 | $114.82 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $575.44 Median $660.69 Typical High $707.95 | Professional | 62 · Two surgeons | $575.44 | $660.69 | $707.95 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,096.48 Median $1,258.93 Typical High $1,380.38 | Professional | 63 · Small infant | $1,096.48 | $1,258.93 | $1,380.38 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $741.31 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $645.65 | $741.31 | $794.33 |
Where Idaho sits
The same service costs 5.8 times more in Wisconsin 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
WI $10,507MT $1,825
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.