How much rates vary
Facilitymedian $355 · 10th to 90th $148 to $741Professionalmedian $355 · 10th to 90th $245 to $525
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 (both parts) Typical Low $234.42 Median $316.23 Typical High $524.81 | Professional | None (both parts) | $234.42 | $316.23 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $173.78 | Professional | 26 · Professional part | $85.11 | $97.72 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $218.78 Typical High $346.74 | Professional | TC · Technical part | $154.88 | $218.78 | $346.74 |
BCBS Idaho Setting Facility Modifier None Typical Low $177.83 Median $389.05 Typical High $741.31 | Facility | None | $177.83 | $389.05 | $741.31 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $346.74 Median $389.05 Typical High $436.52 | Professional | None (both parts) | $346.74 | $389.05 | $436.52 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $141.25 Typical High $165.96 | Professional | 26 · Professional part | $114.82 | $141.25 | $165.96 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $245.47 Typical High $288.40 | Professional | TC · Technical part | $213.80 | $245.47 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $151.36 Typical High $204.17 | Facility | None | $134.90 | $151.36 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $331.13 Typical High $380.19 | Professional | None (both parts) | $251.19 | $331.13 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $123.03 Typical High $134.90 | Professional | 26 · Professional part | $97.72 | $123.03 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $208.93 Typical High $245.47 | Professional | TC · Technical part | $165.96 | $208.93 | $245.47 |
Moda Health Setting Facility Modifier None Typical Low $309.03 Median $524.81 Typical High $5,495.41 | Facility | None | $309.03 | $524.81 | $5,495.41 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $398.11 Typical High $524.81 | Professional | None (both parts) | $309.03 | $398.11 | $524.81 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $131.83 Typical High $173.78 | Professional | 26 · Professional part | $95.50 | $131.83 | $173.78 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $218.78 Typical High $346.74 | Professional | TC · Technical part | $194.98 | $218.78 | $346.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $316.23 Median $380.19 Typical High $380.19 | Facility | None | $316.23 | $380.19 | $380.19 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $489.78 | Professional | None (both parts) | $380.19 | $380.19 | $489.78 |
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 (both parts) Typical Low $331.13 Median $346.74 Typical High $436.52 | Professional | None (both parts) | $331.13 | $346.74 | $436.52 |
Select Health Setting Facility Modifier None Typical Low $181.97 Median $186.21 Typical High $616.60 | Facility | None | $181.97 | $186.21 | $616.60 |
Select Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $263.03 | Professional | None (both parts) | $181.97 | $181.97 | $263.03 |
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 (both parts) Typical Low $208.93 Median $275.42 Typical High $446.68 | Professional | None (both parts) | $208.93 | $275.42 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $109.65 Typical High $162.18 | Professional | 26 · Professional part | $77.62 | $109.65 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $173.78 Typical High $281.84 | Professional | TC · Technical part | $131.83 | $173.78 | $281.84 |
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 $144.54 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $144.54 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $58.88 | $104.71 | $104.71 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $371.54 Typical High $389.05 | Professional | 54 · Surgery only | $309.03 | $371.54 | $389.05 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $40.74 Typical High $42.66 | Professional | 55 · Aftercare only | $34.67 | $40.74 | $42.66 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $416.87 Median $489.78 Typical High $512.86 | Professional | 63 · Small infant | $416.87 | $489.78 | $512.86 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $288.40 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $239.88 | $288.40 | $302.00 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $54.95 Median $66.07 Typical High $69.18 | Professional | 80 · Assistant surgeon | $54.95 | $66.07 | $69.18 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $54.95 Median $66.07 Typical High $69.18 | Professional | 81 · Minimal assistant surgeon | $54.95 | $66.07 | $69.18 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $54.95 Median $66.07 Typical High $69.18 | Professional | 82 · Assistant surgeon, no resident | $54.95 | $66.07 | $69.18 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $46.77 Median $56.23 Typical High $58.88 | Professional | AS · PA/NP assist | $46.77 | $56.23 | $58.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $154.88 | $257.04 | $257.04 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $61.66 | $104.71 | $104.71 |
Where Idaho sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 13th of 51
$355
WI $708UT $135
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.