How much rates vary
Facilitymedian $851 · 10th to 90th $550 to $3,802Professionalmedian $1,380 · 10th to 90th $1,000 to $1,698
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 Professional Modifier None Typical Low $891.25 Median $1,258.93 Typical High $1,258.93 | Professional | None | $891.25 | $1,258.93 | $1,258.93 |
BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $3,630.78 Typical High $4,466.84 | Facility | None | $3,388.44 | $3,630.78 | $4,466.84 |
BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,513.56 Typical High $1,819.70 | Professional | None | $1,071.52 | $1,513.56 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $1,380.38 Typical High $12,589.25 | Facility | None | $151.36 | $1,380.38 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $1,548.82 | Professional | None | $1,148.15 | $1,318.26 | $1,548.82 |
Moda Health Setting Facility Modifier None Typical Low $741.31 Median $1,258.93 Typical High $1,819.70 | Facility | None | $741.31 | $1,258.93 | $1,819.70 |
Moda Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $1,584.89 | Professional | None | $1,023.29 | $1,258.93 | $1,584.89 |
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 $1,288.25 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,288.25 | $1,445.44 | $1,445.44 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,380.38 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,380.38 | $1,445.44 | $1,445.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,778.28 | Professional | None | $1,071.52 | $1,071.52 | $1,778.28 |
Select Health Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $831.76 | Facility | None | $741.31 | $741.31 | $831.76 |
Select Health Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,148.15 | Professional | None | $741.31 | $741.31 | $1,148.15 |
United Setting Facility Modifier None Typical Low $436.52 Median $676.08 Typical High $870.96 | Facility | None | $436.52 | $676.08 | $870.96 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $1,819.70 | Professional | None | $1,000.00 | $1,348.96 | $1,819.70 |
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 $489.78 Median $630.96 Typical High $630.96 | Professional | 52 · Reduced service | $489.78 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $194.98 | $257.04 | $257.04 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,412.54 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,230.27 | $1,412.54 | $1,659.59 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $154.88 Typical High $181.97 | Professional | 55 · Aftercare only | $138.04 | $154.88 | $181.97 |
BCBS Setting Professional Modifier 63 · Small infant Typical Low $1,659.59 Median $1,862.09 Typical High $2,187.76 | Professional | 63 · Small infant | $1,659.59 | $1,862.09 | $2,187.76 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,096.48 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $954.99 | $1,096.48 | $1,288.25 |
BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $218.78 Median $251.19 Typical High $295.12 | Professional | 80 · Assistant surgeon | $218.78 | $251.19 | $295.12 |
BCBS Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $218.78 Median $251.19 Typical High $295.12 | Professional | 81 · Minimal assistant surgeon | $218.78 | $251.19 | $295.12 |
BCBS Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $218.78 Median $251.19 Typical High $295.12 | Professional | 82 · Assistant surgeon, no resident | $218.78 | $251.19 | $295.12 |
BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $186.21 Median $213.80 Typical High $251.19 | Professional | AS · PA/NP assist | $186.21 | $213.80 | $251.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $489.78 Median $630.96 Typical High $630.96 | Professional | 52 · Reduced service | $489.78 | $630.96 | $630.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $194.98 | $257.04 | $257.04 |
Where Idaho sits
The same service costs 3.4 times more in Alaska than in Utah. 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· 22nd of 51
$1,288
AK $2,951UT $871
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.