How much rates vary
Facilitymedian $2,344 · 10th to 90th $759 to $8,511Professionalmedian $550 · 10th to 90th $417 to $776
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 $2,884.03 Median $4,466.84 Typical High $7,762.47 | Facility | None | $2,884.03 | $4,466.84 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $776.25 Typical High $776.25 | Professional | None | $426.58 | $776.25 | $776.25 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,089.30 Median $3,630.78 Typical High $9,120.11 | Facility | None | $2,089.30 | $3,630.78 | $9,120.11 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $2,951.21 Median $5,370.32 Typical High $13,489.63 | Facility | 50 · Both sides | $2,951.21 | $5,370.32 | $13,489.63 |
BCBS Idaho Setting Professional Modifier None Typical Low $512.86 Median $616.60 Typical High $660.69 | Professional | None | $512.86 | $616.60 | $660.69 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $794.33 Median $977.24 Typical High $1,148.15 | Professional | 50 · Both sides | $794.33 | $977.24 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,137.96 Typical High $2,884.03 | Facility | None | $1,905.46 | $2,137.96 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $501.19 Typical High $588.84 | Professional | None | $436.52 | $501.19 | $588.84 |
Moda Health Setting Facility Modifier None Typical Low $436.52 Median $776.25 Typical High $5,495.41 | Facility | None | $436.52 | $776.25 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $436.52 Median $660.69 Typical High $776.25 | Professional | None | $436.52 | $660.69 | $776.25 |
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 $478.63 Median $588.84 Typical High $588.84 | Facility | None | $478.63 | $588.84 | $588.84 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $1,023.29 | Professional | None | $588.84 | $588.84 | $1,023.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,025.60 Median $8,511.38 Typical High $11,481.54 | Facility | None | $6,025.60 | $8,511.38 | $11,481.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $660.69 | Professional | None | $512.86 | $512.86 | $660.69 |
Select Health Setting Facility Modifier None Typical Low $281.84 Median $288.40 Typical High $4,466.84 | Facility | None | $281.84 | $288.40 | $4,466.84 |
Select Health Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $436.52 | Professional | None | $281.84 | $281.84 | $436.52 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $1,621.81 | Facility | None | $1,047.13 | $1,412.54 | $1,621.81 |
United Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $741.31 | Professional | None | $371.54 | $512.86 | $741.31 |
14 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 $213.80 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $213.80 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $85.11 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $323.59 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $64.57 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $42.66 | $77.62 | $77.62 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $575.44 Typical High $602.56 | Professional | 54 · Surgery only | $478.63 | $575.44 | $602.56 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $63.10 Typical High $66.07 | Professional | 55 · Aftercare only | $53.70 | $63.10 | $66.07 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $645.65 Median $758.58 Typical High $794.33 | Professional | 63 · Small infant | $645.65 | $758.58 | $794.33 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $446.68 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $371.54 | $446.68 | $467.74 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $218.78 | $389.05 | $389.05 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $87.10 | $154.88 | $154.88 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $323.59 | $575.44 | $575.44 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $64.57 | $117.49 | $117.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $43.65 | $77.62 | $77.62 |
Where Idaho sits
The same service costs 4.7 times more in Alaska than in New York. 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· 17th of 51
$661
AK $1,622NY $347
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.