How much rates vary
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 $1,412.54 Median $4,466.84 Typical High $7,079.46 | Facility | None | $1,412.54 | $4,466.84 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $123.03 Typical High $123.03 | Professional | None | $42.66 | $123.03 | $123.03 |
BCBS Setting Facility Modifier None Typical Low $18.62 Median $436.52 Typical High $1,202.26 | Facility | None | $18.62 | $436.52 | $1,202.26 |
BCBS Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $77.62 | Professional | None | $60.26 | $72.44 | $77.62 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $63.10 Typical High $66.07 | Professional | 54 · Surgery only | $52.48 | $63.10 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $70.79 | Professional | None | $51.29 | $64.57 | $70.79 |
Moda Health Setting Facility Modifier None Typical Low $45.71 Median $123.03 Typical High $5,495.41 | Facility | None | $45.71 | $123.03 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $123.03 | Professional | None | $53.70 | $75.86 | $123.03 |
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 $52.48 Median $64.57 Typical High $64.57 | Facility | None | $52.48 | $64.57 | $64.57 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $630.96 | Professional | None | $64.57 | $64.57 | $630.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $524.81 Median $891.25 Typical High $1,318.26 | Facility | None | $524.81 | $891.25 | $1,318.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $75.86 Median $77.62 Typical High $81.28 | Professional | None | $75.86 | $77.62 | $81.28 |
Select Health Setting Facility Modifier None Typical Low $30.90 Median $31.62 Typical High $151.36 | Facility | None | $30.90 | $31.62 | $151.36 |
Select Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $48.98 | Professional | None | $30.90 | $30.90 | $48.98 |
United Setting Facility Modifier None Typical Low $144.54 Median $363.08 Typical High $501.19 | Facility | None | $144.54 | $363.08 | $501.19 |
United Setting Professional Modifier None Typical Low $37.15 Median $57.54 Typical High $85.11 | Professional | None | $37.15 | $57.54 | $85.11 |
3 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 55 · Aftercare only Typical Low $5.89 Median $7.08 Typical High $7.24 | Professional | 55 · Aftercare only | $5.89 | $7.08 | $7.24 |
BCBS Setting Professional Modifier 63 · Small infant Typical Low $70.79 Median $85.11 Typical High $87.10 | Professional | 63 · Small infant | $70.79 | $85.11 | $87.10 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $40.74 Median $48.98 Typical High $51.29 | Professional | 78 · Unplanned return to OR | $40.74 | $48.98 | $51.29 |
Where Idaho sits
The same service costs 9.3 times more in Tennessee than in New York. 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· 20th of 51
$72.44
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.