How much rates vary
Facilitymedian $2,512 · 10th to 90th $933 to $7,943Professionalmedian $200 · 10th to 90th $132 to $363
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 $125.89 Median $363.08 Typical High $363.08 | Professional | None | $125.89 | $363.08 | $363.08 |
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 $186.21 Median $223.87 Typical High $245.47 | Professional | None | $186.21 | $223.87 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $2,511.89 Typical High $3,467.37 | Facility | None | $2,238.72 | $2,511.89 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $186.21 Typical High $204.17 | Professional | None | $147.91 | $186.21 | $204.17 |
Moda Health Setting Facility Modifier None Typical Low $144.54 Median $363.08 Typical High $5,495.41 | Facility | None | $144.54 | $363.08 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $158.49 Median $229.09 Typical High $363.08 | Professional | None | $158.49 | $229.09 | $363.08 |
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 $165.96 Median $199.53 Typical High $199.53 | Facility | None | $165.96 | $199.53 | $199.53 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $5,011.87 | Professional | None | $199.53 | $199.53 | $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 $229.09 Median $234.42 Typical High $245.47 | Professional | None | $229.09 | $234.42 | $245.47 |
Select Health Setting Facility Modifier None Typical Low $95.50 Median $97.72 Typical High $6,309.57 | Facility | None | $95.50 | $97.72 | $6,309.57 |
Select Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $151.36 | Professional | None | $95.50 | $95.50 | $151.36 |
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 $120.23 Median $173.78 Typical High $245.47 | Professional | None | $120.23 | $173.78 | $245.47 |
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 $162.18 Median $199.53 Typical High $223.87 | Professional | 54 · Surgery only | $162.18 | $199.53 | $223.87 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $21.88 Typical High $24.55 | Professional | 55 · Aftercare only | $18.20 | $21.88 | $24.55 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $218.78 Median $263.03 Typical High $295.12 | Professional | 63 · Small infant | $218.78 | $263.03 | $295.12 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $154.88 Typical High $173.78 | Professional | 78 · Unplanned return to OR | $125.89 | $154.88 | $173.78 |
Where Idaho sits
The same service costs 12.9 times more in Arkansas 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· 14th of 51
$363
AR $1,585NY $123
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.