How much rates vary
Facilitymedian $331 · 10th to 90th $174 to $1,047Professionalmedian $263 · 10th to 90th $195 to $331
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 Typical Low $186.21 Median $239.88 Typical High $239.88 | Professional | None | $186.21 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $181.97 Typical High $181.97 | Professional | 54 · Surgery only | $138.04 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $36.31 Typical High $36.31 | Professional | 55 · Aftercare only | $27.54 | $36.31 | $36.31 |
BCBS Idaho Setting Facility Modifier None Typical Low $229.09 Median $512.86 Typical High $977.24 | Facility | None | $229.09 | $512.86 | $977.24 |
BCBS Idaho Setting Professional Modifier None Typical Low $204.17 Median $281.84 Typical High $346.74 | Professional | None | $204.17 | $281.84 | $346.74 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $263.03 Typical High $309.03 | Professional | 54 · Surgery only | $234.42 | $263.03 | $309.03 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $29.51 Typical High $34.67 | Professional | 55 · Aftercare only | $26.30 | $29.51 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $204.17 Typical High $281.84 | Facility | None | $181.97 | $204.17 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $257.04 Typical High $295.12 | Professional | None | $213.80 | $257.04 | $295.12 |
Moda Health Setting Facility Modifier None Typical Low $194.98 Median $239.88 Typical High $5,495.41 | Facility | None | $194.98 | $239.88 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $194.98 Median $239.88 Typical High $316.23 | Professional | None | $194.98 | $239.88 | $316.23 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $181.97 Typical High $181.97 | Professional | 54 · Surgery only | $138.04 | $181.97 | $181.97 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $36.31 Typical High $36.31 | Professional | 55 · Aftercare only | $27.54 | $36.31 | $36.31 |
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 $239.88 Median $275.42 Typical High $275.42 | Facility | None | $239.88 | $275.42 | $275.42 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $263.03 Median $275.42 Typical High $323.59 | Professional | None | $263.03 | $275.42 | $323.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $549.54 Median $776.25 Typical High $1,047.13 | Facility | None | $549.54 | $776.25 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $338.84 | Professional | None | $204.17 | $204.17 | $338.84 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $144.54 Typical High $1,288.25 | Facility | None | $141.25 | $144.54 | $1,288.25 |
Select Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $218.78 | Professional | None | $141.25 | $141.25 | $218.78 |
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 Typical Low $181.97 Median $257.04 Typical High $354.81 | Professional | None | $181.97 | $257.04 | $354.81 |
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 $93.33 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $93.33 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $37.15 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $23.99 Typical High $23.99 | Professional | 56 · Pre-op care only | $18.62 | $23.99 | $23.99 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $309.03 Median $354.81 Typical High $416.87 | Professional | 63 · Small infant | $309.03 | $354.81 | $416.87 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $204.17 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $181.97 | $204.17 | $239.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $93.33 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $37.15 | $47.86 | $47.86 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $23.99 Typical High $23.99 | Professional | 56 · Pre-op care only | $18.62 | $23.99 | $23.99 |
Where Idaho sits
The same service costs 3.2 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· 17th of 51
$269
AK $562TX $178
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.