How much rates vary
Facilitymedian $363 · 10th to 90th $182 to $977Professionalmedian $741 · 10th to 90th $537 to $955
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 $537.03 Median $707.95 Typical High $707.95 | Professional | None | $537.03 | $707.95 | $707.95 |
BCBS Idaho Setting Facility Modifier None Typical Low $229.09 Median $346.74 Typical High $831.76 | Facility | None | $229.09 | $346.74 | $831.76 |
BCBS Idaho Setting Professional Modifier None Typical Low $602.56 Median $812.83 Typical High $954.99 | Professional | None | $602.56 | $812.83 | $954.99 |
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 $630.96 Median $724.44 Typical High $851.14 | Professional | None | $630.96 | $724.44 | $851.14 |
Moda Health Setting Facility Modifier None Typical Low $562.34 Median $707.95 Typical High $5,495.41 | Facility | None | $562.34 | $707.95 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $933.25 | Professional | None | $562.34 | $707.95 | $933.25 |
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 $691.83 Median $794.33 Typical High $794.33 | Facility | None | $691.83 | $794.33 | $794.33 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $478.63 Median $794.33 Typical High $794.33 | Professional | None | $478.63 | $794.33 | $794.33 |
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 $602.56 Median $602.56 Typical High $1,000.00 | Professional | None | $602.56 | $602.56 | $1,000.00 |
Select Health Setting Facility Modifier None Typical Low $407.38 Median $416.87 Typical High $676.08 | Facility | None | $407.38 | $416.87 | $676.08 |
Select Health Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $630.96 | Professional | None | $407.38 | $407.38 | $630.96 |
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 $512.86 Median $724.44 Typical High $1,047.13 | Professional | None | $512.86 | $724.44 | $1,047.13 |
18 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 $269.15 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $269.15 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $107.15 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $398.11 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $79.43 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $53.70 | $70.79 | $70.79 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $758.58 Typical High $891.25 | Professional | 54 · Surgery only | $676.08 | $758.58 | $891.25 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $85.11 Typical High $100.00 | Professional | 55 · Aftercare only | $75.86 | $85.11 | $100.00 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $912.01 Median $1,023.29 Typical High $1,202.26 | Professional | 63 · Small infant | $912.01 | $1,023.29 | $1,202.26 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $588.84 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $537.03 | $588.84 | $691.83 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $120.23 Median $134.90 Typical High $158.49 | Professional | 80 · Assistant surgeon | $120.23 | $134.90 | $158.49 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $120.23 Median $134.90 Typical High $158.49 | Professional | 81 · Minimal assistant surgeon | $120.23 | $134.90 | $158.49 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $120.23 Median $134.90 Typical High $158.49 | Professional | 82 · Assistant surgeon, no resident | $120.23 | $134.90 | $158.49 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $102.33 Median $114.82 Typical High $134.90 | Professional | AS · PA/NP assist | $102.33 | $114.82 | $134.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $269.15 | $354.81 | $354.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $107.15 | $141.25 | $141.25 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $407.38 | $524.81 | $524.81 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $81.28 | $104.71 | $104.71 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $53.70 | $70.79 | $70.79 |
Where Idaho sits
The same service costs 3.2 times more in Alaska than in Arkansas. 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· 16th of 51
$692
AK $1,380AR $427
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.