How much rates vary
Facilitymedian $479 · 10th to 90th $339 to $1,905Professionalmedian $355 · 10th to 90th $120 to $813
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 $97.72 Median $416.87 Typical High $1,148.15 | Professional | None | $97.72 | $416.87 | $1,148.15 |
BCBS Idaho Setting Facility Modifier None Typical Low $467.74 Median $741.31 Typical High $1,905.46 | Facility | None | $467.74 | $741.31 | $1,905.46 |
BCBS Idaho Setting Professional Modifier None Typical Low $134.90 Median $602.56 Typical High $794.33 | Professional | None | $134.90 | $602.56 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $426.58 Typical High $575.44 | Facility | None | $380.19 | $426.58 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $245.47 Typical High $724.44 | Professional | None | $123.03 | $245.47 | $724.44 |
Moda Health Setting Facility Modifier None Typical Low $114.82 Median $1,023.29 Typical High $5,495.41 | Facility | None | $114.82 | $1,023.29 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $120.23 Median $416.87 Typical High $1,148.15 | Professional | None | $120.23 | $416.87 | $1,148.15 |
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 $144.54 Median $144.54 Typical High $707.95 | Facility | None | $144.54 | $144.54 | $707.95 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $144.54 Median $707.95 Typical High $758.58 | Professional | None | $144.54 | $707.95 | $758.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,047.13 Median $1,621.81 Typical High $2,041.74 | Facility | None | $1,047.13 | $1,621.81 | $2,041.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $154.88 Median $169.82 Typical High $741.31 | Professional | None | $154.88 | $169.82 | $741.31 |
Select Health Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $346.74 | Facility | None | $338.84 | $338.84 | $346.74 |
Select Health Setting Professional Modifier None Typical Low $91.20 Median $338.84 Typical High $457.09 | Professional | None | $91.20 | $338.84 | $457.09 |
United Setting Facility Modifier None Typical Low $363.08 Median $501.19 Typical High $724.44 | Facility | None | $363.08 | $501.19 | $724.44 |
United Setting Professional Modifier None Typical Low $100.00 Median $354.81 Typical High $794.33 | Professional | None | $100.00 | $354.81 | $794.33 |
14 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $125.89 Typical High $575.44 | Professional | 52 · Reduced service | $57.54 | $125.89 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $50.12 Typical High $234.42 | Professional | 53 · Discontinued | $22.91 | $50.12 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $186.21 Typical High $870.96 | Professional | 54 · Surgery only | $87.10 | $186.21 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $37.15 Typical High $173.78 | Professional | 55 · Aftercare only | $17.38 | $37.15 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $25.12 Typical High $114.82 | Professional | 56 · Pre-op care only | $11.48 | $25.12 | $114.82 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $151.36 Typical High $707.95 | Professional | 54 · Surgery only | $120.23 | $151.36 | $707.95 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $16.22 Typical High $77.62 | Professional | 55 · Aftercare only | $12.88 | $16.22 | $77.62 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $162.18 Median $776.25 Typical High $912.01 | Professional | 63 · Small infant | $162.18 | $776.25 | $912.01 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $114.82 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $93.33 | $114.82 | $549.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $125.89 Typical High $575.44 | Professional | 52 · Reduced service | $60.26 | $125.89 | $575.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $50.12 Typical High $234.42 | Professional | 53 · Discontinued | $24.55 | $50.12 | $234.42 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $186.21 Typical High $870.96 | Professional | 54 · Surgery only | $91.20 | $186.21 | $870.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $37.15 Typical High $173.78 | Professional | 55 · Aftercare only | $18.20 | $37.15 | $173.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $25.12 Typical High $114.82 | Professional | 56 · Pre-op care only | $12.30 | $25.12 | $114.82 |
Where Idaho sits
The same service costs 7.8 times more in Oklahoma than in Nebraska. 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· 17th of 51
$468
OK $1,148NE $148
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.