How much rates vary
Facilitymedian $2,570 · 10th to 90th $417 to $11,220Professionalmedian $513 · 10th to 90th $363 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 $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 $288.40 Median $501.19 Typical High $691.83 | Professional | None | $288.40 | $501.19 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $371.54 Typical High $512.86 | Professional | 54 · Surgery only | $245.47 | $371.54 | $512.86 |
BCBS Idaho Setting Facility Modifier None Typical Low $933.25 Median $3,090.30 Typical High $12,882.50 | Facility | None | $933.25 | $3,090.30 | $12,882.50 |
BCBS Idaho Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $851.14 | Professional | None | $436.52 | $616.60 | $851.14 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $467.74 Typical High $794.33 | Professional | 54 · Surgery only | $398.11 | $467.74 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,818.38 Typical High $3,801.89 | Facility | None | $2,511.89 | $2,818.38 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $478.63 Typical High $616.60 | Professional | None | $371.54 | $478.63 | $616.60 |
Moda Health Setting Facility Modifier None Typical Low $371.54 Median $707.95 Typical High $9,772.37 | Facility | None | $371.54 | $707.95 | $9,772.37 |
Moda Health Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $758.58 | Professional | None | $354.81 | $501.19 | $758.58 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $371.54 Typical High $512.86 | Professional | 54 · Surgery only | $245.47 | $371.54 | $512.86 |
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 $478.63 Typical High $776.25 | Facility | None | $478.63 | $478.63 | $776.25 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $478.63 Median $645.65 Typical High $831.76 | Professional | None | $478.63 | $645.65 | $831.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,511.38 Median $12,302.69 Typical High $16,218.10 | Facility | None | $8,511.38 | $12,302.69 | $16,218.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $436.52 Median $562.34 Typical High $758.58 | Professional | None | $436.52 | $562.34 | $758.58 |
Select Health Setting Facility Modifier None Typical Low $371.54 Median $380.19 Typical High $2,511.89 | Facility | None | $371.54 | $380.19 | $2,511.89 |
Select Health Setting Professional Modifier None Typical Low $295.12 Median $371.54 Typical High $512.86 | Professional | None | $295.12 | $371.54 | $512.86 |
United Setting Facility Modifier None Typical Low $363.08 Median $501.19 Typical High $724.44 | Facility | None | $363.08 | $501.19 | $724.44 |
United Setting Professional Modifier None Typical Low $309.03 Median $489.78 Typical High $794.33 | Professional | None | $309.03 | $489.78 | $794.33 |
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 $165.96 Median $251.19 Typical High $346.74 | Professional | 52 · Reduced service | $165.96 | $251.19 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $100.00 Typical High $138.04 | Professional | 53 · Discontinued | $66.07 | $100.00 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $74.13 Typical High $102.33 | Professional | 55 · Aftercare only | $48.98 | $74.13 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $50.12 Typical High $69.18 | Professional | 56 · Pre-op care only | $33.11 | $50.12 | $69.18 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $60.26 Typical High $85.11 | Professional | 55 · Aftercare only | $43.65 | $60.26 | $85.11 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $275.42 Median $331.13 Typical High $537.03 | Professional | 62 · Two surgeons | $275.42 | $331.13 | $537.03 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $549.54 Median $870.96 Typical High $1,023.29 | Professional | 63 · Small infant | $549.54 | $870.96 | $1,023.29 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $363.08 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $309.03 | $363.08 | $562.34 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $251.19 Typical High $346.74 | Professional | 52 · Reduced service | $165.96 | $251.19 | $346.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $100.00 Typical High $138.04 | Professional | 53 · Discontinued | $66.07 | $100.00 | $138.04 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $74.13 Typical High $102.33 | Professional | 55 · Aftercare only | $48.98 | $74.13 | $102.33 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $50.12 Typical High $69.18 | Professional | 56 · Pre-op care only | $33.11 | $50.12 | $69.18 |
Where Idaho sits
The same service costs 3.9 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· 13th of 51
$550
AK $1,380NY $355
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.