How much rates vary
Facilitymedian $550 · 10th to 90th $288 to $1,413Professionalmedian $708 · 10th to 90th $447 to $1,000
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 $371.54 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $371.54 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $97.72 | $199.53 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $288.40 | $794.33 | $794.33 |
BCBS Idaho Setting Facility Modifier None Typical Low $199.53 Median $501.19 Typical High $741.31 | Facility | None | $199.53 | $501.19 | $741.31 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $676.08 Median $707.95 Typical High $812.83 | Professional | None (both parts) | $676.08 | $707.95 | $812.83 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $165.96 Typical High $190.55 | Professional | 26 · Professional part | $141.25 | $165.96 | $190.55 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $549.54 Typical High $645.65 | Professional | TC · Technical part | $512.86 | $549.54 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $602.56 Typical High $707.95 | Professional | None (both parts) | $524.81 | $602.56 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $141.25 Typical High $147.91 | Professional | 26 · Professional part | $112.20 | $141.25 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $478.63 Typical High $562.34 | Professional | TC · Technical part | $389.05 | $478.63 | $562.34 |
Moda Health Setting Facility Modifier None Typical Low $263.03 Median $1,000.00 Typical High $5,495.41 | Facility | None | $263.03 | $1,000.00 | $5,495.41 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $616.60 Median $812.83 Typical High $1,000.00 | Professional | None (both parts) | $616.60 | $812.83 | $1,000.00 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $114.82 | $199.53 | $199.53 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $478.63 | $794.33 | $794.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $83.18 | Professional | None (both parts) | $33.11 | $33.11 | $83.18 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $616.60 Median $741.31 Typical High $741.31 | Facility | None | $616.60 | $741.31 | $741.31 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $758.58 | Professional | None (both parts) | $741.31 | $741.31 | $758.58 |
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 $575.44 Median $676.08 Typical High $812.83 | Professional | None (both parts) | $575.44 | $676.08 | $812.83 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $141.25 Typical High $169.82 | Professional | 26 · Professional part | $120.23 | $141.25 | $169.82 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $524.81 Typical High $645.65 | Professional | TC · Technical part | $446.68 | $524.81 | $645.65 |
Select Health Setting Facility Modifier None Typical Low $354.81 Median $363.08 Typical High $562.34 | Facility | None | $354.81 | $363.08 | $562.34 |
Select Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $489.78 Typical High $676.08 | Professional | None (both parts) | $354.81 | $489.78 | $676.08 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $8,317.64 Typical High $9,332.54 | Facility | None | $1,862.09 | $8,317.64 | $9,332.54 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $446.68 Typical High $707.95 | Professional | None (both parts) | $288.40 | $446.68 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $125.89 Typical High $177.83 | Professional | 26 · Professional part | $95.50 | $125.89 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $302.00 Typical High $512.86 | Professional | TC · Technical part | $199.53 | $302.00 | $512.86 |
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 $251.19 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $251.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $102.33 | $199.53 | $199.53 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $724.44 Typical High $758.58 | Professional | 54 · Surgery only | $602.56 | $724.44 | $758.58 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $79.43 Typical High $85.11 | Professional | 55 · Aftercare only | $67.61 | $79.43 | $85.11 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $812.83 Median $954.99 Typical High $1,000.00 | Professional | 63 · Small infant | $812.83 | $954.99 | $1,000.00 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $562.34 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $467.74 | $562.34 | $588.84 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $107.15 Median $128.82 Typical High $134.90 | Professional | 80 · Assistant surgeon | $107.15 | $128.82 | $134.90 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $107.15 Median $128.82 Typical High $134.90 | Professional | 81 · Minimal assistant surgeon | $107.15 | $128.82 | $134.90 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $107.15 Median $128.82 Typical High $134.90 | Professional | 82 · Assistant surgeon, no resident | $107.15 | $128.82 | $134.90 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $91.20 Median $109.65 Typical High $114.82 | Professional | AS · PA/NP assist | $91.20 | $109.65 | $114.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $295.12 | $501.19 | $501.19 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $120.23 | $199.53 | $199.53 |
Where Idaho sits
The same service costs 6.5 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· 10th of 51
$692
AK $1,413KY $219
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.