How much rates vary
Facilitymedian $813 · 10th to 90th $263 to $3,467Professionalmedian $372 · 10th to 90th $219 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 $1,412.54 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 $234.42 Median $371.54 Typical High $812.83 | Professional | None | $234.42 | $371.54 | $812.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $275.42 Typical High $602.56 | Professional | 54 · Surgery only | $173.78 | $275.42 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $54.95 Typical High $120.23 | Professional | 55 · Aftercare only | $34.67 | $54.95 | $120.23 |
BCBS Idaho Setting Facility Modifier None Typical Low $537.03 Median $1,071.52 Typical High $1,737.80 | Facility | None | $537.03 | $1,071.52 | $1,737.80 |
BCBS Idaho Setting Professional Modifier None Typical Low $251.19 Median $501.19 Typical High $724.44 | Professional | None | $251.19 | $501.19 | $724.44 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $263.03 Typical High $630.96 | Professional | 54 · Surgery only | $218.78 | $263.03 | $630.96 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $29.51 Typical High $67.61 | Professional | 55 · Aftercare only | $25.12 | $29.51 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $363.08 Typical High $549.54 | Professional | None | $218.78 | $363.08 | $549.54 |
Hally Health Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,023.29 | Professional | None | $851.14 | $851.14 | $1,023.29 |
Moda Health Setting Facility Modifier None Typical Low $190.55 Median $524.81 Typical High $5,495.41 | Facility | None | $190.55 | $524.81 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $218.78 Median $371.54 Typical High $812.83 | Professional | None | $218.78 | $371.54 | $812.83 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $275.42 Typical High $602.56 | Professional | 54 · Surgery only | $199.53 | $275.42 | $602.56 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $54.95 Typical High $120.23 | Professional | 55 · Aftercare only | $39.81 | $54.95 | $120.23 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $169.82 | Professional | None | $33.11 | $33.11 | $169.82 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $660.69 | Facility | None | $263.03 | $263.03 | $660.69 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $263.03 Median $389.05 Typical High $831.76 | Professional | None | $263.03 | $389.05 | $831.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $269.15 Median $363.08 Typical High $616.60 | Professional | None | $269.15 | $363.08 | $616.60 |
Select Health Setting Facility Modifier None Typical Low $316.23 Median $323.59 Typical High $3,467.37 | Facility | None | $316.23 | $323.59 | $3,467.37 |
Select Health Setting Professional Modifier None Typical Low $213.80 Median $316.23 Typical High $489.78 | Professional | None | $213.80 | $316.23 | $489.78 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $8,317.64 Typical High $9,332.54 | Facility | None | $1,862.09 | $8,317.64 | $9,332.54 |
United Setting Professional Modifier None Typical Low $173.78 Median $346.74 Typical High $616.60 | Professional | None | $173.78 | $346.74 | $616.60 |
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 $117.49 Median $186.21 Typical High $407.38 | Professional | 52 · Reduced service | $117.49 | $186.21 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $74.13 Typical High $162.18 | Professional | 53 · Discontinued | $46.77 | $74.13 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $37.15 Typical High $81.28 | Professional | 56 · Pre-op care only | $23.44 | $37.15 | $81.28 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $295.12 Median $354.81 Typical High $851.14 | Professional | 63 · Small infant | $295.12 | $354.81 | $851.14 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $251.19 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $173.78 | $251.19 | $512.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $186.21 Typical High $407.38 | Professional | 52 · Reduced service | $131.83 | $186.21 | $407.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $74.13 Typical High $162.18 | Professional | 53 · Discontinued | $52.48 | $74.13 | $162.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $37.15 Typical High $81.28 | Professional | 56 · Pre-op care only | $26.30 | $37.15 | $81.28 |
Where Idaho sits
The same service costs 3.5 times more in Alaska than in Virginia. 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· 12th of 51
$372
AK $661VA $186
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.