How much rates vary
Facilitymedian $174 · 10th to 90th $76 to $417Professionalmedian $100 · 10th to 90th $63 to $148
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 $131.83 Median $154.88 Typical High $4,466.84 | Facility | None | $131.83 | $154.88 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $109.65 Typical High $147.91 | Professional | None | $54.95 | $109.65 | $147.91 |
BCBS Idaho Setting Facility Modifier None Typical Low $66.07 Median $173.78 Typical High $389.05 | Facility | None | $66.07 | $173.78 | $389.05 |
BCBS Idaho Setting Professional Modifier None Typical Low $79.43 Median $123.03 Typical High $147.91 | Professional | None | $79.43 | $123.03 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $81.28 Typical High $107.15 | Professional | None | $52.48 | $81.28 | $107.15 |
Moda Health Setting Facility Modifier None Typical Low $75.86 Median $147.91 Typical High $426.58 | Facility | None | $75.86 | $147.91 | $426.58 |
Moda Health Setting Professional Modifier None Typical Low $66.07 Median $109.65 Typical High $147.91 | Professional | None | $66.07 | $109.65 | $147.91 |
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 $83.18 Median $83.18 Typical High $131.83 | Facility | None | $83.18 | $83.18 | $131.83 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $169.82 | Professional | None | $72.44 | $114.82 | $169.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $218.78 Median $309.03 Typical High $416.87 | Facility | None | $218.78 | $309.03 | $416.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $134.90 | Professional | None | $85.11 | $104.71 | $134.90 |
Select Health Setting Facility Modifier None Typical Low $63.10 Median $64.57 Typical High $194.98 | Facility | None | $63.10 | $64.57 | $194.98 |
Select Health Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $91.20 | Professional | None | $63.10 | $63.10 | $91.20 |
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 $54.95 Median $83.18 Typical High $125.89 | Professional | None | $54.95 | $83.18 | $125.89 |
20 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 $52.48 Median $54.95 Typical High $72.44 | Professional | 52 · Reduced service | $52.48 | $54.95 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $29.51 | Professional | 53 · Discontinued | $20.89 | $21.88 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $83.18 Typical High $109.65 | Professional | 54 · Surgery only | $77.62 | $83.18 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $16.60 Typical High $21.88 | Professional | 55 · Aftercare only | $15.49 | $16.60 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.96 Typical High $14.79 | Professional | 56 · Pre-op care only | $10.47 | $10.96 | $14.79 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $89.13 Median $204.17 Typical High $389.05 | Facility | 50 · Both sides | $89.13 | $204.17 | $389.05 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $117.49 Median $181.97 Typical High $257.04 | Professional | 50 · Both sides | $117.49 | $181.97 | $257.04 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $91.20 Typical High $128.82 | Professional | 54 · Surgery only | $69.18 | $91.20 | $128.82 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $9.33 Typical High $14.79 | Professional | 55 · Aftercare only | $7.76 | $9.33 | $14.79 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $93.33 Median $151.36 Typical High $177.83 | Professional | 63 · Small infant | $93.33 | $151.36 | $177.83 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $53.70 Median $67.61 Typical High $117.49 | Professional | 78 · Unplanned return to OR | $53.70 | $67.61 | $117.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $54.95 Typical High $72.44 | Professional | 52 · Reduced service | $52.48 | $54.95 | $72.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $29.51 | Professional | 53 · Discontinued | $20.89 | $21.88 | $29.51 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $83.18 Typical High $109.65 | Professional | 54 · Surgery only | $77.62 | $83.18 | $109.65 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $16.60 Typical High $21.88 | Professional | 55 · Aftercare only | $15.49 | $16.60 | $21.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.96 Typical High $14.79 | Professional | 56 · Pre-op care only | $10.47 | $10.96 | $14.79 |
MountainHealth Co-op Setting Professional Modifier 50 · Both sides Typical Low $190.55 Median $190.55 Typical High $257.04 | Professional | 50 · Both sides | $190.55 | $190.55 | $257.04 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $89.13 Typical High $117.49 | Professional | 54 · Surgery only | $89.13 | $89.13 | $117.49 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $12.59 Typical High $16.98 | Professional | 56 · Pre-op care only | $12.59 | $12.59 | $16.98 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $95.50 Typical High $125.89 | Professional | 78 · Unplanned return to OR | $95.50 | $95.50 | $125.89 |
Where Idaho sits
The same service costs 3.6 times more in Alaska than in Florida. 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· 8th of 51
$107
AK $200FL $54.95
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.