How much rates vary
Facilitymedian $676 · 10th to 90th $339 to $2,692Professionalmedian $417 · 10th to 90th $251 to $692
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 $1,621.81 Median $4,466.84 Typical High $7,244.36 | Facility | None | $1,621.81 | $4,466.84 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $436.52 Typical High $794.33 | Professional | None | $229.09 | $436.52 | $794.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $331.13 Typical High $602.56 | Professional | 54 · Surgery only | $186.21 | $331.13 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $66.07 Typical High $120.23 | Professional | 55 · Aftercare only | $37.15 | $66.07 | $120.23 |
BCBS Idaho Setting Facility Modifier None Typical Low $446.68 Median $1,288.25 Typical High $2,754.23 | Facility | None | $446.68 | $1,288.25 | $2,754.23 |
BCBS Idaho Setting Professional Modifier None Typical Low $295.12 Median $537.03 Typical High $691.83 | Professional | None | $295.12 | $537.03 | $691.83 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $512.86 Typical High $616.60 | Professional | 54 · Surgery only | $281.84 | $512.86 | $616.60 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $37.15 Typical High $70.79 | Professional | 55 · Aftercare only | $31.62 | $37.15 | $70.79 |
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 $275.42 Median $363.08 Typical High $549.54 | Professional | None | $275.42 | $363.08 | $549.54 |
Moda Health Setting Facility Modifier None Typical Low $223.87 Median $630.96 Typical High $5,495.41 | Facility | None | $223.87 | $630.96 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $251.19 Median $436.52 Typical High $794.33 | Professional | None | $251.19 | $436.52 | $794.33 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $331.13 Typical High $602.56 | Professional | 54 · Surgery only | $186.21 | $331.13 | $602.56 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $66.07 Typical High $120.23 | Professional | 55 · Aftercare only | $37.15 | $66.07 | $120.23 |
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 $338.84 Median $338.84 Typical High $630.96 | Facility | None | $338.84 | $338.84 | $630.96 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $338.84 Median $588.84 Typical High $676.08 | Professional | None | $338.84 | $588.84 | $676.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,122.02 Median $1,778.28 Typical High $2,238.72 | Facility | None | $1,122.02 | $1,778.28 | $2,238.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $295.12 Median $389.05 Typical High $575.44 | Professional | None | $295.12 | $389.05 | $575.44 |
Select Health Setting Facility Modifier None Typical Low $302.00 Median $309.03 Typical High $4,073.80 | Facility | None | $302.00 | $309.03 | $4,073.80 |
Select Health Setting Professional Modifier None Typical Low $213.80 Median $302.00 Typical High $416.87 | Professional | None | $213.80 | $302.00 | $416.87 |
United Setting Facility Modifier None Typical Low $549.54 Median $676.08 Typical High $954.99 | Facility | None | $549.54 | $676.08 | $954.99 |
United Setting Professional Modifier None Typical Low $213.80 Median $354.81 Typical High $549.54 | Professional | None | $213.80 | $354.81 | $549.54 |
8 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 $123.03 Median $218.78 Typical High $398.11 | Professional | 52 · Reduced service | $123.03 | $218.78 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $87.10 Typical High $162.18 | Professional | 53 · Discontinued | $50.12 | $87.10 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $43.65 Typical High $79.43 | Professional | 56 · Pre-op care only | $24.55 | $43.65 | $79.43 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $416.87 Median $457.09 Typical High $831.76 | Professional | 63 · Small infant | $416.87 | $457.09 | $831.76 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $263.03 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $218.78 | $263.03 | $467.74 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $218.78 Typical High $398.11 | Professional | 52 · Reduced service | $123.03 | $218.78 | $398.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $87.10 Typical High $162.18 | Professional | 53 · Discontinued | $50.12 | $87.10 | $162.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $43.65 Typical High $79.43 | Professional | 56 · Pre-op care only | $24.55 | $43.65 | $79.43 |
Where Idaho sits
The same service costs 3.0 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
$447
WI $891KY $295
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.