How much rates vary
Facilitymedian $151 · 10th to 90th $58 to $741Professionalmedian $89 · 10th to 90th $51 to $158
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 $47.86 Median $89.13 Typical High $165.96 | Professional | None | $47.86 | $89.13 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $36.31 Median $66.07 Typical High $125.89 | Professional | 54 · Surgery only | $36.31 | $66.07 | $125.89 |
BCBS Idaho Setting Facility Modifier None Typical Low $60.26 Median $173.78 Typical High $741.31 | Facility | None | $60.26 | $173.78 | $741.31 |
BCBS Idaho Setting Professional Modifier None Typical Low $58.88 Median $114.82 Typical High $158.49 | Professional | None | $58.88 | $114.82 | $158.49 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $79.43 Typical High $141.25 | Professional | 54 · Surgery only | $54.95 | $79.43 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $57.54 Typical High $77.62 | Facility | None | $51.29 | $57.54 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $79.43 Typical High $117.49 | Professional | None | $53.70 | $79.43 | $117.49 |
Moda Health Setting Facility Modifier None Typical Low $47.86 Median $125.89 Typical High $5,495.41 | Facility | None | $47.86 | $125.89 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $56.23 Median $93.33 Typical High $165.96 | Professional | None | $56.23 | $93.33 | $165.96 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $36.31 Median $66.07 Typical High $125.89 | Professional | 54 · Surgery only | $36.31 | $66.07 | $125.89 |
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 $66.07 Median $66.07 Typical High $144.54 | Facility | None | $66.07 | $66.07 | $144.54 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $66.07 Median $117.49 Typical High $154.88 | Professional | None | $66.07 | $117.49 | $154.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $467.74 Median $602.56 Typical High $812.83 | Facility | None | $467.74 | $602.56 | $812.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $58.88 Median $77.62 Typical High $120.23 | Professional | None | $58.88 | $77.62 | $120.23 |
Select Health Setting Facility Modifier None Typical Low $69.18 Median $70.79 Typical High $426.58 | Facility | None | $69.18 | $70.79 | $426.58 |
Select Health Setting Professional Modifier None Typical Low $41.69 Median $69.18 Typical High $93.33 | Professional | None | $41.69 | $69.18 | $93.33 |
United Setting Facility Modifier None Typical Low $144.54 Median $363.08 Typical High $501.19 | Facility | None | $144.54 | $363.08 | $501.19 |
United Setting Professional Modifier None Typical Low $42.66 Median $74.13 Typical High $120.23 | Professional | None | $42.66 | $74.13 | $120.23 |
3 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 55 · Aftercare only Typical Low $6.17 Median $7.41 Typical High $16.22 | Professional | 55 · Aftercare only | $6.17 | $7.41 | $16.22 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $74.13 Median $89.13 Typical High $194.98 | Professional | 63 · Small infant | $74.13 | $89.13 | $194.98 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $42.66 Median $61.66 Typical High $109.65 | Professional | 78 · Unplanned return to OR | $42.66 | $61.66 | $109.65 |
Where Idaho sits
The same service costs 3.5 times more in Wisconsin 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· 14th of 51
$89.13
WI $200KY $56.23
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.