How much rates vary
Facilitymedian $324 · 10th to 90th $145 to $832Professionalmedian $288 · 10th to 90th $162 to $447
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 $151.36 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $151.36 | $263.03 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $91.20 | Professional | 26 · Professional part | $42.66 | $51.29 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $213.80 Typical High $354.81 | Professional | TC · Technical part | $112.20 | $213.80 | $354.81 |
BCBS Idaho Setting Facility Modifier None Typical Low $154.88 Median $309.03 Typical High $831.76 | Facility | None | $154.88 | $309.03 | $831.76 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $269.15 Median $309.03 Typical High $354.81 | Professional | None (both parts) | $269.15 | $309.03 | $354.81 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $74.13 Typical High $87.10 | Professional | 26 · Professional part | $60.26 | $74.13 | $87.10 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $229.09 Typical High $281.84 | Professional | TC · Technical part | $204.17 | $229.09 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $257.04 Typical High $309.03 | Professional | None (both parts) | $204.17 | $257.04 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $63.10 Typical High $69.18 | Professional | 26 · Professional part | $50.12 | $63.10 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $199.53 Typical High $239.88 | Professional | TC · Technical part | $162.18 | $199.53 | $239.88 |
Moda Health Setting Facility Modifier None Typical Low $263.03 Median $446.68 Typical High $5,495.41 | Facility | None | $263.03 | $446.68 | $5,495.41 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $316.23 Typical High $501.19 | Professional | None (both parts) | $177.83 | $316.23 | $501.19 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $43.65 | $69.18 | $104.71 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $213.80 Typical High $354.81 | Professional | TC · Technical part | $125.89 | $213.80 | $354.81 |
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 $245.47 Median $302.00 Typical High $302.00 | Facility | None | $245.47 | $302.00 | $302.00 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $389.05 | Professional | None (both parts) | $302.00 | $302.00 | $389.05 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $269.15 Median $288.40 Typical High $363.08 | Professional | None (both parts) | $269.15 | $288.40 | $363.08 |
Select Health Setting Facility Modifier None Typical Low $144.54 Median $147.91 Typical High $389.05 | Facility | None | $144.54 | $147.91 | $389.05 |
Select Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $208.93 | Professional | None (both parts) | $144.54 | $144.54 | $208.93 |
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 $158.49 Median $194.98 Typical High $323.59 | Professional | None (both parts) | $158.49 | $194.98 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $60.26 Typical High $85.11 | Professional | 26 · Professional part | $42.66 | $60.26 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $138.04 Typical High $245.47 | Professional | TC · Technical part | $100.00 | $138.04 | $245.47 |
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 $125.89 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $125.89 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $50.12 | $89.13 | $89.13 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $288.40 Typical High $323.59 | Professional | 54 · Surgery only | $245.47 | $288.40 | $323.59 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $32.36 Typical High $35.48 | Professional | 55 · Aftercare only | $26.92 | $32.36 | $35.48 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $323.59 Median $389.05 Typical High $426.58 | Professional | 63 · Small infant | $323.59 | $389.05 | $426.58 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $223.87 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $190.55 | $223.87 | $251.19 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $43.65 Median $51.29 Typical High $57.54 | Professional | 80 · Assistant surgeon | $43.65 | $51.29 | $57.54 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $43.65 Median $51.29 Typical High $57.54 | Professional | 81 · Minimal assistant surgeon | $43.65 | $51.29 | $57.54 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $43.65 Median $51.29 Typical High $57.54 | Professional | 82 · Assistant surgeon, no resident | $43.65 | $51.29 | $57.54 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $37.15 Median $43.65 Typical High $47.86 | Professional | AS · PA/NP assist | $37.15 | $43.65 | $47.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $128.82 | $223.87 | $223.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $51.29 | $89.13 | $89.13 |
Where Idaho sits
The same service costs 5.6 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· 10th of 51
$288
AK $759TX $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.