How much rates vary
Facilitymedian $2,239 · 10th to 90th $871 to $7,943Professionalmedian $427 · 10th to 90th $275 to $724
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 $870.96 Median $1,621.81 Typical High $7,244.36 | Facility | None | $870.96 | $1,621.81 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $724.44 Typical High $870.96 | Professional | None | $251.19 | $724.44 | $870.96 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,041.74 Median $2,511.89 Typical High $8,317.64 | Facility | None | $2,041.74 | $2,511.89 | $8,317.64 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $2,951.21 Median $3,630.78 Typical High $12,589.25 | Facility | 50 · Both sides | $2,951.21 | $3,630.78 | $12,589.25 |
BCBS Idaho Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $512.86 | Professional | None | $398.11 | $478.63 | $512.86 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $575.44 Median $707.95 Typical High $724.44 | Professional | 50 · Both sides | $575.44 | $707.95 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,995.26 Typical High $2,691.53 | Facility | None | $1,778.28 | $1,995.26 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $407.38 | Professional | None | $302.00 | $354.81 | $407.38 |
Moda Health Setting Facility Modifier None Typical Low $302.00 Median $870.96 Typical High $5,495.41 | Facility | None | $302.00 | $870.96 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $316.23 Median $457.09 Typical High $724.44 | Professional | None | $316.23 | $457.09 | $724.44 |
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 $346.74 Median $426.58 Typical High $426.58 | Facility | None | $346.74 | $426.58 | $426.58 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $5,011.87 | Professional | None | $426.58 | $426.58 | $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 $457.09 Median $478.63 Typical High $512.86 | Professional | None | $457.09 | $478.63 | $512.86 |
Select Health Setting Facility Modifier None Typical Low $204.17 Median $208.93 Typical High $6,309.57 | Facility | None | $204.17 | $208.93 | $6,309.57 |
Select Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $302.00 | Professional | None | $204.17 | $204.17 | $302.00 |
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 $257.04 Median $363.08 Typical High $524.81 | Professional | None | $257.04 | $363.08 | $524.81 |
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 $346.74 Median $416.87 Typical High $436.52 | Professional | 54 · Surgery only | $346.74 | $416.87 | $436.52 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $46.77 Typical High $48.98 | Professional | 55 · Aftercare only | $38.90 | $46.77 | $48.98 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $467.74 Median $562.34 Typical High $588.84 | Professional | 63 · Small infant | $467.74 | $562.34 | $588.84 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $323.59 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $269.15 | $323.59 | $338.84 |
Where Idaho sits
The same service costs 9.3 times more in Vermont 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
VT $7,005MT $753
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.