How much rates vary
Facilitymedian $4,266 · 10th to 90th $933 to $13,804Professionalmedian $724 · 10th to 90th $468 to $1,202
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 $4,365.16 Median $4,466.84 Typical High $8,511.38 | Facility | None | $4,365.16 | $4,466.84 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $1,202.26 Typical High $1,202.26 | Professional | None | $478.63 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $354.81 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $70.79 | $181.97 | $181.97 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $14,791.08 | Facility | None | $1,698.24 | $3,801.89 | $14,791.08 |
BCBS Idaho Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $812.83 | Professional | None | $645.65 | $776.25 | $812.83 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $676.08 Typical High $707.95 | Professional | 54 · Surgery only | $588.84 | $676.08 | $707.95 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $75.86 Typical High $79.43 | Professional | 55 · Aftercare only | $64.57 | $75.86 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $5,011.87 Median $5,623.41 Typical High $7,585.78 | Facility | None | $5,011.87 | $5,623.41 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $691.83 | Professional | None | $489.78 | $588.84 | $691.83 |
Moda Health Setting Facility Modifier None Typical Low $478.63 Median $1,202.26 Typical High $5,495.41 | Facility | None | $478.63 | $1,202.26 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $549.54 Median $776.25 Typical High $1,202.26 | Professional | None | $549.54 | $776.25 | $1,202.26 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $416.87 | $891.25 | $891.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $83.18 | $181.97 | $181.97 |
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 $575.44 Median $707.95 Typical High $707.95 | Facility | None | $575.44 | $707.95 | $707.95 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $794.33 | Professional | None | $707.95 | $707.95 | $794.33 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 54 · Surgery only | $562.34 | $562.34 | $562.34 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,772.37 Median $13,803.84 Typical High $18,620.87 | Facility | None | $9,772.37 | $13,803.84 | $18,620.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $676.08 Median $812.83 Typical High $812.83 | Professional | None | $676.08 | $812.83 | $812.83 |
Select Health Setting Facility Modifier None Typical Low $338.84 Median $346.74 Typical High $5,888.44 | Facility | None | $338.84 | $346.74 | $5,888.44 |
Select Health Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $758.58 | Professional | None | $338.84 | $338.84 | $758.58 |
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 $446.68 Median $588.84 Typical High $870.96 | Professional | None | $446.68 | $588.84 | $870.96 |
16 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 $234.42 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $234.42 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $93.33 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $46.77 | $120.23 | $120.23 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $776.25 Median $912.01 Typical High $954.99 | Professional | 63 · Small infant | $776.25 | $912.01 | $954.99 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $524.81 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $457.09 | $524.81 | $562.34 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $104.71 Median $120.23 Typical High $125.89 | Professional | 80 · Assistant surgeon | $104.71 | $120.23 | $125.89 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $104.71 Median $120.23 Typical High $125.89 | Professional | 81 · Minimal assistant surgeon | $104.71 | $120.23 | $125.89 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $104.71 Median $120.23 Typical High $125.89 | Professional | 82 · Assistant surgeon, no resident | $104.71 | $120.23 | $125.89 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $89.13 Median $102.33 Typical High $107.15 | Professional | AS · PA/NP assist | $89.13 | $102.33 | $107.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $275.42 | $602.56 | $602.56 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $109.65 | $239.88 | $239.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $54.95 | $120.23 | $120.23 |
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 22 · Increased work | $870.96 | $870.96 | $870.96 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $79.43 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 63 · Small infant | $870.96 | $870.96 | $870.96 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $602.56 | $602.56 | $602.56 |
Where Idaho sits
The same service costs 4.5 times more in Alaska than in Texas. 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· 9th of 51
$759
AK $1,622TX $363
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.