How much rates vary
Facilitymedian $8,913 · 10th to 90th $1,349 to $27,542Professionalmedian $955 · 10th to 90th $631 to $1,349
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 $4,466.84 Median $4,677.35 Typical High $5,495.41 | Facility | None | $4,466.84 | $4,677.35 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $1,348.96 Typical High $1,348.96 | Professional | None | $691.83 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $512.86 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $102.33 | $204.17 | $204.17 |
BCBS Idaho Setting Facility Modifier None Typical Low $7,762.47 Median $15,135.61 Typical High $33,113.11 | Facility | None | $7,762.47 | $15,135.61 | $33,113.11 |
BCBS Idaho Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,202.26 | Professional | None | $891.25 | $1,047.13 | $1,202.26 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $933.25 Typical High $977.24 | Professional | 54 · Surgery only | $776.25 | $933.25 | $977.24 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $102.33 Typical High $107.15 | Professional | 55 · Aftercare only | $87.10 | $102.33 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $8,128.31 Median $9,120.11 Typical High $12,302.69 | Facility | None | $8,128.31 | $9,120.11 | $12,302.69 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $794.33 Typical High $933.25 | Professional | None | $691.83 | $794.33 | $933.25 |
Moda Health Setting Facility Modifier None Typical Low $457.09 Median $1,348.96 Typical High $4,677.35 | Facility | None | $457.09 | $1,348.96 | $4,677.35 |
Moda Health Setting Professional Modifier None Typical Low $691.83 Median $1,148.15 Typical High $1,348.96 | Professional | None | $691.83 | $1,148.15 | $1,348.96 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $512.86 | $1,000.00 | $1,000.00 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $102.33 | $204.17 | $204.17 |
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 $776.25 Median $954.99 Typical High $954.99 | Facility | None | $776.25 | $954.99 | $954.99 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,819.70 | Professional | None | $954.99 | $954.99 | $1,819.70 |
Regence BlueShield Setting Facility Modifier None Typical Low $19,498.45 Median $27,542.29 Typical High $36,307.81 | Facility | None | $19,498.45 | $27,542.29 | $36,307.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $977.24 Median $1,148.15 Typical High $1,318.26 | Professional | None | $977.24 | $1,148.15 | $1,318.26 |
Select Health Setting Facility Modifier None Typical Low $457.09 Median $467.74 Typical High $14,791.08 | Facility | None | $457.09 | $467.74 | $14,791.08 |
Select Health Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $707.95 | Professional | None | $457.09 | $457.09 | $707.95 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $5,495.41 Typical High $10,715.19 | Facility | None | $1,584.89 | $5,495.41 | $10,715.19 |
United Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $1,230.27 | Professional | None | $562.34 | $812.83 | $1,230.27 |
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 $346.74 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $346.74 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $138.04 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $69.18 | $134.90 | $134.90 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,047.13 Median $1,230.27 Typical High $1,288.25 | Professional | 63 · Small infant | $1,047.13 | $1,230.27 | $1,288.25 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $724.44 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $602.56 | $724.44 | $758.58 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $346.74 | $676.08 | $676.08 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $138.04 | $269.15 | $269.15 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $69.18 | $134.90 | $134.90 |
Where Idaho sits
The same service costs 9.8 times more in Alaska than in Montana. 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.
Physician feeFacility fee
AK $17,480MT $1,783
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.