How much rates vary
Facilitymedian $1,175 · 10th to 90th $224 to $2,692Professionalmedian $288 · 10th to 90th $166 to $617
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 $346.74 Median $758.58 Typical High $5,495.41 | Facility | None | $346.74 | $758.58 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $288.40 Typical High $630.96 | Professional | None | $213.80 | $288.40 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $218.78 Typical High $478.63 | Professional | 54 · Surgery only | $134.90 | $218.78 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $43.65 Typical High $95.50 | Professional | 55 · Aftercare only | $26.92 | $43.65 | $95.50 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $2,398.83 | Facility | None | $1,122.02 | $1,318.26 | $2,398.83 |
BCBS Idaho Setting Professional Modifier None Typical Low $190.55 Median $389.05 Typical High $512.86 | Professional | None | $190.55 | $389.05 | $512.86 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $199.53 Typical High $467.74 | Professional | 54 · Surgery only | $165.96 | $199.53 | $467.74 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $43.65 Typical High $53.70 | Professional | 55 · Aftercare only | $18.62 | $43.65 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $263.03 Typical High $407.38 | Professional | None | $165.96 | $263.03 | $407.38 |
Hally Health Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $616.60 | Professional | None | $537.03 | $537.03 | $616.60 |
Moda Health Setting Facility Modifier None Typical Low $288.40 Median $660.69 Typical High $5,248.07 | Facility | None | $288.40 | $660.69 | $5,248.07 |
Moda Health Setting Professional Modifier None Typical Low $165.96 Median $288.40 Typical High $630.96 | Professional | None | $165.96 | $288.40 | $630.96 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $218.78 Typical High $478.63 | Professional | 54 · Surgery only | $162.18 | $218.78 | $478.63 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $43.65 Typical High $95.50 | Professional | 55 · Aftercare only | $32.36 | $43.65 | $95.50 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $138.04 | Professional | None | $33.11 | $33.11 | $138.04 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $467.74 | Facility | None | $199.53 | $199.53 | $467.74 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $199.53 Median $389.05 Typical High $602.56 | Professional | None | $199.53 | $389.05 | $602.56 |
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 $218.78 Median $302.00 Typical High $501.19 | Professional | None | $218.78 | $302.00 | $501.19 |
Select Health Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $234.42 | Facility | None | $223.87 | $223.87 | $234.42 |
Select Health Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $346.74 | Professional | None | $162.18 | $223.87 | $346.74 |
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 $257.04 Typical High $467.74 | Professional | None | $131.83 | $257.04 | $467.74 |
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 $91.20 Median $144.54 Typical High $316.23 | Professional | 52 · Reduced service | $91.20 | $144.54 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $58.88 Typical High $125.89 | Professional | 53 · Discontinued | $36.31 | $58.88 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $28.84 Typical High $63.10 | Professional | 56 · Pre-op care only | $18.20 | $28.84 | $63.10 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $223.87 Median $263.03 Typical High $588.84 | Professional | 63 · Small infant | $223.87 | $263.03 | $588.84 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $158.49 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $128.82 | $158.49 | $363.08 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $144.54 Typical High $316.23 | Professional | 52 · Reduced service | $107.15 | $144.54 | $316.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $58.88 Typical High $125.89 | Professional | 53 · Discontinued | $43.65 | $58.88 | $125.89 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $28.84 Typical High $63.10 | Professional | 56 · Pre-op care only | $21.38 | $28.84 | $63.10 |
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
$288
AK $513VA $151
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.