How much rates vary
Facilitymedian $832 · 10th to 90th $550 to $5,495Professionalmedian $3,548 · 10th to 90th $2,138 to $6,026
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 $4,466.84 Median $4,466.84 Typical High $5,495.41 | Facility | None | $4,466.84 | $4,466.84 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $6,025.60 Typical High $6,025.60 | Professional | None | $2,754.23 | $6,025.60 | $6,025.60 |
BCBS Idaho Setting Professional Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,548.13 | $4,168.69 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $1,380.38 Typical High $12,589.25 | Facility | None | $151.36 | $1,380.38 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $2,884.03 Typical High $3,311.31 | Professional | None | $2,454.71 | $2,884.03 | $3,311.31 |
Moda Health Setting Facility Modifier None Typical Low $2,754.23 Median $6,025.60 Typical High $8,709.64 | Facility | None | $2,754.23 | $6,025.60 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $2,754.23 Median $6,025.60 Typical High $6,025.60 | Professional | None | $2,754.23 | $6,025.60 | $6,025.60 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $2,884.03 Median $3,548.13 Typical High $3,548.13 | Facility | None | $2,884.03 | $3,548.13 | $3,548.13 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,548.13 | $4,168.69 | $4,168.69 |
Select Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Select Health Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $8,511.38 | Professional | None | $3,019.95 | $3,019.95 | $8,511.38 |
United Setting Facility Modifier None Typical Low $436.52 Median $676.08 Typical High $870.96 | Facility | None | $436.52 | $676.08 | $870.96 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $2,818.38 Typical High $4,168.69 | Professional | None | $2,089.30 | $2,818.38 | $4,168.69 |
12 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 $1,348.96 Median $3,019.95 Typical High $3,019.95 | Professional | 52 · Reduced service | $1,348.96 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $1,202.26 Typical High $1,202.26 | Professional | 53 · Discontinued | $549.54 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,041.74 Median $4,570.88 Typical High $4,570.88 | Professional | 54 · Surgery only | $2,041.74 | $4,570.88 | $4,570.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $912.01 Typical High $912.01 | Professional | 55 · Aftercare only | $407.38 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $602.56 Typical High $602.56 | Professional | 56 · Pre-op care only | $275.42 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $4,265.80 Typical High $4,265.80 | Professional | 78 · Unplanned return to OR | $1,905.46 | $4,265.80 | $4,265.80 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,348.96 Median $3,019.95 Typical High $3,019.95 | Professional | 52 · Reduced service | $1,348.96 | $3,019.95 | $3,019.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $1,202.26 Typical High $1,202.26 | Professional | 53 · Discontinued | $549.54 | $1,202.26 | $1,202.26 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $2,041.74 Median $4,570.88 Typical High $4,570.88 | Professional | 54 · Surgery only | $2,041.74 | $4,570.88 | $4,570.88 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $912.01 Typical High $912.01 | Professional | 55 · Aftercare only | $407.38 | $912.01 | $912.01 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $602.56 Typical High $602.56 | Professional | 56 · Pre-op care only | $275.42 | $602.56 | $602.56 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $4,265.80 Typical High $4,265.80 | Professional | 78 · Unplanned return to OR | $1,905.46 | $4,265.80 | $4,265.80 |
Where Idaho sits
The same service costs 9.8 times more in Alaska than in Kentucky. 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
$3,548
AK $8,511KY $871
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.