How much rates vary
Facilitymedian $550 · 10th to 90th $347 to $1,778Professionalmedian $309 · 10th to 90th $69 to $832
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 $64.57 Median $331.13 Typical High $977.24 | Professional | None | $64.57 | $331.13 | $977.24 |
BCBS Idaho Setting Facility Modifier None Typical Low $446.68 Median $758.58 Typical High $1,778.28 | Facility | None | $446.68 | $758.58 | $1,778.28 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $660.69 Median $1,047.13 Typical High $2,691.53 | Facility | 50 · Both sides | $660.69 | $1,047.13 | $2,691.53 |
BCBS Idaho Setting Professional Modifier None Typical Low $79.43 Median $588.84 Typical High $831.76 | Professional | None | $79.43 | $588.84 | $831.76 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $128.82 Median $1,071.52 Typical High $1,258.93 | Professional | 50 · Both sides | $128.82 | $1,071.52 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $380.19 Typical High $524.81 | Facility | None | $338.84 | $380.19 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $112.20 Typical High $660.69 | Professional | None | $74.13 | $112.20 | $660.69 |
Moda Health Setting Facility Modifier None Typical Low $120.23 Median $1,380.38 Typical High $4,466.84 | Facility | None | $120.23 | $1,380.38 | $4,466.84 |
Moda Health Setting Professional Modifier None Typical Low $67.61 Median $407.38 Typical High $977.24 | Professional | None | $67.61 | $407.38 | $977.24 |
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 $91.20 Median $91.20 Typical High $758.58 | Facility | None | $91.20 | $91.20 | $758.58 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $91.20 Median $158.49 Typical High $831.76 | Professional | None | $91.20 | $158.49 | $831.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $2,238.72 | Facility | None | $1,122.02 | $1,584.89 | $2,238.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $691.83 | Professional | None | $79.43 | $104.71 | $691.83 |
Select Health Setting Facility Modifier None Typical Low $363.08 Median $371.54 Typical High $1,202.26 | Facility | None | $363.08 | $371.54 | $1,202.26 |
Select Health Setting Professional Modifier None Typical Low $56.23 Median $363.08 Typical High $489.78 | Professional | None | $56.23 | $363.08 | $489.78 |
United Setting Facility Modifier None Typical Low $363.08 Median $501.19 Typical High $724.44 | Facility | None | $363.08 | $501.19 | $724.44 |
United Setting Professional Modifier None Typical Low $58.88 Median $309.03 Typical High $660.69 | Professional | None | $58.88 | $309.03 | $660.69 |
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 $75.86 Median $630.96 Typical High $776.25 | Professional | 54 · Surgery only | $75.86 | $630.96 | $776.25 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $69.18 Typical High $85.11 | Professional | 55 · Aftercare only | $9.55 | $69.18 | $85.11 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $100.00 Median $120.23 Typical High $1,023.29 | Professional | 63 · Small infant | $100.00 | $120.23 | $1,023.29 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $58.88 Median $512.86 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $58.88 | $512.86 | $602.56 |
Where Idaho sits
The same service costs 5.7 times more in New York 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.
Physician feeFacility fee
NY $2,925MD $509
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.