How much rates vary
Facilitymedian $1,259 · 10th to 90th $204 to $3,162Professionalmedian $295 · 10th to 90th $170 to $631
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 $190.55 Median $1,412.54 Typical High $7,079.46 | Facility | None | $190.55 | $1,412.54 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $295.12 Typical High $660.69 | Professional | None | $186.21 | $295.12 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $223.87 Typical High $489.78 | Professional | 54 · Surgery only | $138.04 | $223.87 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $44.67 Typical High $97.72 | Professional | 55 · Aftercare only | $28.18 | $44.67 | $97.72 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $2,570.40 | Facility | None | $1,071.52 | $1,380.38 | $2,570.40 |
BCBS Idaho Setting Professional Modifier None Typical Low $194.98 Median $389.05 Typical High $524.81 | Professional | None | $194.98 | $389.05 | $524.81 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $204.17 Typical High $467.74 | Professional | 54 · Surgery only | $169.82 | $204.17 | $467.74 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $21.88 Typical High $54.95 | Professional | 55 · Aftercare only | $18.62 | $21.88 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $269.15 Typical High $426.58 | Professional | None | $169.82 | $269.15 | $426.58 |
Hally Health Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $724.44 | Professional | None | $588.84 | $588.84 | $724.44 |
Moda Health Setting Facility Modifier None Typical Low $190.55 Median $660.69 Typical High $5,495.41 | Facility | None | $190.55 | $660.69 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $169.82 Median $295.12 Typical High $660.69 | Professional | None | $169.82 | $295.12 | $660.69 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $223.87 Typical High $489.78 | Professional | 54 · Surgery only | $165.96 | $223.87 | $489.78 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $44.67 Typical High $97.72 | Professional | 55 · Aftercare only | $33.11 | $44.67 | $97.72 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $144.54 | Professional | None | $33.11 | $33.11 | $144.54 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $489.78 | Facility | None | $204.17 | $204.17 | $489.78 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $204.17 Median $389.05 Typical High $616.60 | Professional | None | $204.17 | $389.05 | $616.60 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,380.38 Median $1,995.26 Typical High $2,630.27 | Facility | None | $1,380.38 | $1,995.26 | $2,630.27 |
Regence BlueShield Setting Professional Modifier None Typical Low $223.87 Median $302.00 Typical High $512.86 | Professional | None | $223.87 | $302.00 | $512.86 |
Select Health Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $239.88 | Facility | None | $234.42 | $234.42 | $239.88 |
Select Health Setting Professional Modifier None Typical Low $162.18 Median $234.42 Typical High $363.08 | Professional | None | $162.18 | $234.42 | $363.08 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,168.69 Typical High $4,466.84 | Facility | None | $2,691.53 | $4,168.69 | $4,466.84 |
United Setting Professional Modifier None Typical Low $131.83 Median $269.15 Typical High $478.63 | Professional | None | $131.83 | $269.15 | $478.63 |
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 $147.91 Typical High $323.59 | Professional | 52 · Reduced service | $93.33 | $147.91 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $58.88 Typical High $131.83 | Professional | 53 · Discontinued | $37.15 | $58.88 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $29.51 Typical High $66.07 | Professional | 56 · Pre-op care only | $18.62 | $29.51 | $66.07 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $223.87 Median $524.81 Typical High $660.69 | Professional | 63 · Small infant | $223.87 | $524.81 | $660.69 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $158.49 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $134.90 | $158.49 | $354.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $147.91 Typical High $323.59 | Professional | 52 · Reduced service | $109.65 | $147.91 | $323.59 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $58.88 Typical High $131.83 | Professional | 53 · Discontinued | $44.67 | $58.88 | $131.83 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $29.51 Typical High $66.07 | Professional | 56 · Pre-op care only | $22.39 | $29.51 | $66.07 |
Where Idaho sits
The same service costs 3.4 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· 16th of 51
$295
AK $525VA $155
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.