How much rates vary
Facilitymedian $589 · 10th to 90th $170 to $5,495Professionalmedian $617 · 10th to 90th $447 to $871
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 $446.68 Median $870.96 Typical High $870.96 | Professional | None | $446.68 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $645.65 Typical High $645.65 | Professional | 54 · Surgery only | $338.84 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $67.61 | $131.83 | $131.83 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,047.13 Median $2,818.38 Typical High $10,232.93 | Facility | None | $1,047.13 | $2,818.38 | $10,232.93 |
BCBS Idaho Setting Professional Modifier None Typical Low $549.54 Median $645.65 Typical High $724.44 | Professional | None | $549.54 | $645.65 | $724.44 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $575.44 Typical High $602.56 | Professional | 54 · Surgery only | $489.78 | $575.44 | $602.56 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $63.10 Typical High $67.61 | Professional | 55 · Aftercare only | $54.95 | $63.10 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $501.19 Typical High $562.34 | Professional | None | $446.68 | $501.19 | $562.34 |
Moda Health Setting Facility Modifier None Typical Low $446.68 Median $870.96 Typical High $5,495.41 | Facility | None | $446.68 | $870.96 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $446.68 Median $851.14 Typical High $870.96 | Professional | None | $446.68 | $851.14 | $870.96 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $645.65 Typical High $645.65 | Professional | 54 · Surgery only | $338.84 | $645.65 | $645.65 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $67.61 | $131.83 | $131.83 |
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 $478.63 Median $588.84 Typical High $588.84 | Facility | None | $478.63 | $588.84 | $588.84 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $870.96 | Professional | None | $588.84 | $588.84 | $870.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $851.14 | Professional | None | $645.65 | $724.44 | $851.14 |
Select Health Setting Facility Modifier None Typical Low $281.84 Median $288.40 Typical High $5,888.44 | Facility | None | $281.84 | $288.40 | $5,888.44 |
Select Health Setting Professional Modifier None Typical Low $281.84 Median $354.81 Typical High $549.54 | Professional | None | $281.84 | $354.81 | $549.54 |
United Setting Facility Modifier None Typical Low $144.54 Median $363.08 Typical High $501.19 | Facility | None | $144.54 | $363.08 | $501.19 |
United Setting Professional Modifier None Typical Low $389.05 Median $537.03 Typical High $741.31 | Professional | None | $389.05 | $537.03 | $741.31 |
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 $223.87 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $223.87 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $89.13 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $44.67 | $87.10 | $87.10 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $660.69 Median $758.58 Typical High $812.83 | Professional | 63 · Small infant | $660.69 | $758.58 | $812.83 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $446.68 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $380.19 | $446.68 | $467.74 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $87.10 Median $102.33 Typical High $107.15 | Professional | 80 · Assistant surgeon | $87.10 | $102.33 | $107.15 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $87.10 Median $102.33 Typical High $107.15 | Professional | 81 · Minimal assistant surgeon | $87.10 | $102.33 | $107.15 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $87.10 Median $102.33 Typical High $107.15 | Professional | 82 · Assistant surgeon, no resident | $87.10 | $102.33 | $107.15 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $74.13 Median $87.10 Typical High $91.20 | Professional | AS · PA/NP assist | $74.13 | $87.10 | $91.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $223.87 | $436.52 | $436.52 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $89.13 | $173.78 | $173.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $44.67 | $87.10 | $87.10 |
Where Idaho sits
The same service costs 4.9 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· 11th of 51
$617
AK $1,445UT $295
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.