How much rates vary
Facilitymedian $363 · 10th to 90th $138 to $1,413Professionalmedian $182 · 10th to 90th $87 to $324
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 $138.04 Median $208.93 Typical High $467.74 | Professional | None | $138.04 | $208.93 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $138.04 Typical High $354.81 | Professional | 54 · Surgery only | $69.18 | $138.04 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $27.54 Typical High $70.79 | Professional | 55 · Aftercare only | $13.80 | $27.54 | $70.79 |
BCBS Idaho Setting Facility Modifier None Typical Low $281.84 Median $416.87 Typical High $831.76 | Facility | None | $281.84 | $416.87 | $831.76 |
BCBS Idaho Setting Professional Modifier None Typical Low $97.72 Median $218.78 Typical High $309.03 | Professional | None | $97.72 | $218.78 | $309.03 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $102.33 Typical High $269.15 | Professional | 54 · Surgery only | $87.10 | $102.33 | $269.15 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $26.30 Typical High $30.90 | Professional | 55 · Aftercare only | $9.77 | $26.30 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $162.18 Typical High $251.19 | Professional | None | $87.10 | $162.18 | $251.19 |
Hally Health Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $316.23 | Professional | None | $269.15 | $269.15 | $316.23 |
Moda Health Setting Facility Modifier None Typical Low $181.97 Median $467.74 Typical High $5,495.41 | Facility | None | $181.97 | $467.74 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $91.20 Median $208.93 Typical High $467.74 | Professional | None | $91.20 | $208.93 | $467.74 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $138.04 Typical High $354.81 | Professional | 54 · Surgery only | $102.33 | $138.04 | $354.81 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $27.54 Typical High $70.79 | Professional | 55 · Aftercare only | $20.89 | $27.54 | $70.79 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $85.11 | Professional | None | $33.11 | $33.11 | $85.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $288.40 | Facility | None | $104.71 | $104.71 | $288.40 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $288.40 | Professional | None | $104.71 | $120.23 | $288.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $309.03 | Professional | None | $114.82 | $154.88 | $309.03 |
Select Health Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $346.74 | Facility | None | $138.04 | $138.04 | $346.74 |
Select Health Setting Professional Modifier None Typical Low $95.50 Median $138.04 Typical High $213.80 | Professional | None | $95.50 | $138.04 | $213.80 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $8,317.64 Typical High $9,332.54 | Facility | None | $1,862.09 | $8,317.64 | $9,332.54 |
United Setting Professional Modifier None Typical Low $69.18 Median $144.54 Typical High $281.84 | Professional | None | $69.18 | $144.54 | $281.84 |
8 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 $46.77 Median $91.20 Typical High $234.42 | Professional | 52 · Reduced service | $46.77 | $91.20 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $37.15 Typical High $93.33 | Professional | 53 · Discontinued | $18.62 | $37.15 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $18.20 Typical High $46.77 | Professional | 56 · Pre-op care only | $9.33 | $18.20 | $46.77 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $114.82 Median $138.04 Typical High $371.54 | Professional | 63 · Small infant | $114.82 | $138.04 | $371.54 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $67.61 Median $81.28 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $67.61 | $81.28 | $218.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $91.20 Typical High $234.42 | Professional | 52 · Reduced service | $69.18 | $91.20 | $234.42 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $37.15 Typical High $93.33 | Professional | 53 · Discontinued | $27.54 | $37.15 | $93.33 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $18.20 Typical High $46.77 | Professional | 56 · Pre-op care only | $13.80 | $18.20 | $46.77 |
Where Idaho sits
The same service costs 3.7 times more in Wisconsin than in Maryland. 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· 11th of 51
$182
WI $302MD $81.28
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.