How much rates vary
Facilitymedian $2,344 · 10th to 90th $759 to $8,511Professionalmedian $427 · 10th to 90th $324 to $603
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 $331.13 Median $602.56 Typical High $602.56 | Professional | None | $331.13 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $251.19 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $50.12 | $91.20 | $91.20 |
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 Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $512.86 | Professional | None | $398.11 | $467.74 | $512.86 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $436.52 Typical High $457.09 | Professional | 54 · Surgery only | $371.54 | $436.52 | $457.09 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $47.86 Typical High $51.29 | Professional | 55 · Aftercare only | $40.74 | $47.86 | $51.29 |
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 $338.84 Median $389.05 Typical High $457.09 | Professional | None | $338.84 | $389.05 | $457.09 |
Moda Health Setting Facility Modifier None Typical Low $323.59 Median $602.56 Typical High $5,495.41 | Facility | None | $323.59 | $602.56 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $338.84 Median $512.86 Typical High $602.56 | Professional | None | $338.84 | $512.86 | $602.56 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $251.19 | $446.68 | $446.68 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $50.12 | $91.20 | $91.20 |
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 $371.54 Median $457.09 Typical High $457.09 | Facility | None | $371.54 | $457.09 | $457.09 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $794.33 | Professional | None | $457.09 | $457.09 | $794.33 |
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 $398.11 Median $398.11 Typical High $512.86 | Professional | None | $398.11 | $398.11 | $512.86 |
Select Health Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $6,165.95 | Facility | None | $218.78 | $218.78 | $6,165.95 |
Select Health Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $338.84 | Professional | None | $218.78 | $218.78 | $338.84 |
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 $275.42 Median $389.05 Typical High $575.44 | Professional | None | $275.42 | $389.05 | $575.44 |
4 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 56 · Pre-op care only Typical Low $33.11 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $33.11 | $60.26 | $60.26 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $489.78 Median $575.44 Typical High $616.60 | Professional | 63 · Small infant | $489.78 | $575.44 | $616.60 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $338.84 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $288.40 | $338.84 | $354.81 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $33.88 | $60.26 | $60.26 |
Where Idaho sits
The same service costs 7.2 times more in Oklahoma 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· 19th of 51
$501
OK $1,950NY $269
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.