How much rates vary
Facilitymedian $302 · 10th to 90th $110 to $1,202Professionalmedian $191 · 10th to 90th $112 to $245
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 $4,466.84 Median $4,466.84 Typical High $5,495.41 | Facility | None | $4,466.84 | $4,466.84 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $218.78 Typical High $245.47 | Professional | None | $100.00 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $162.18 Typical High $186.21 | Professional | 54 · Surgery only | $131.83 | $162.18 | $186.21 |
BCBS Idaho Setting Facility Modifier None Typical Low $74.13 Median $436.52 Typical High $1,202.26 | Facility | None | $74.13 | $436.52 | $1,202.26 |
BCBS Idaho Setting Professional Modifier None Typical Low $162.18 Median $208.93 Typical High $257.04 | Professional | None | $162.18 | $208.93 | $257.04 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $169.82 Typical High $257.04 | Professional | 54 · Surgery only | $141.25 | $169.82 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $158.49 Typical High $181.97 | Professional | None | $89.13 | $158.49 | $181.97 |
Moda Health Setting Facility Modifier None Typical Low $109.65 Median $245.47 Typical High $4,466.84 | Facility | None | $109.65 | $245.47 | $4,466.84 |
Moda Health Setting Professional Modifier None Typical Low $123.03 Median $190.55 Typical High $245.47 | Professional | None | $123.03 | $190.55 | $245.47 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $162.18 Typical High $186.21 | Professional | 54 · Surgery only | $131.83 | $162.18 | $186.21 |
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 $169.82 Median $169.82 Typical High $229.09 | Facility | None | $169.82 | $169.82 | $229.09 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $288.40 | Professional | None | $147.91 | $199.53 | $288.40 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $177.83 Typical High $199.53 | Professional | 54 · Surgery only | $177.83 | $177.83 | $199.53 |
Regence BlueShield Setting Facility Modifier None Typical Low $524.81 Median $891.25 Typical High $1,318.26 | Facility | None | $524.81 | $891.25 | $1,318.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $229.09 | Professional | None | $169.82 | $199.53 | $229.09 |
Select Health Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $288.40 | Facility | None | $109.65 | $109.65 | $288.40 |
Select Health Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $181.97 | Professional | None | $109.65 | $109.65 | $181.97 |
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 $109.65 Median $147.91 Typical High $213.80 | Professional | None | $109.65 | $147.91 | $213.80 |
16 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 $87.10 Median $109.65 Typical High $123.03 | Professional | 52 · Reduced service | $87.10 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $43.65 Typical High $48.98 | Professional | 53 · Discontinued | $34.67 | $43.65 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $32.36 Typical High $37.15 | Professional | 55 · Aftercare only | $26.30 | $32.36 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $21.88 Typical High $24.55 | Professional | 56 · Pre-op care only | $17.38 | $21.88 | $24.55 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $104.71 Median $229.09 Typical High $1,174.90 | Facility | 50 · Both sides | $104.71 | $229.09 | $1,174.90 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $263.03 Median $354.81 Typical High $380.19 | Professional | 50 · Both sides | $263.03 | $354.81 | $380.19 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $19.05 Typical High $25.12 | Professional | 55 · Aftercare only | $16.22 | $19.05 | $25.12 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $194.98 Median $251.19 Typical High $309.03 | Professional | 63 · Small infant | $194.98 | $251.19 | $309.03 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $131.83 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $109.65 | $131.83 | $199.53 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $109.65 Typical High $123.03 | Professional | 52 · Reduced service | $87.10 | $109.65 | $123.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $43.65 Typical High $48.98 | Professional | 53 · Discontinued | $34.67 | $43.65 | $48.98 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $32.36 Typical High $37.15 | Professional | 55 · Aftercare only | $26.30 | $32.36 | $37.15 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $21.88 Typical High $24.55 | Professional | 56 · Pre-op care only | $17.38 | $21.88 | $24.55 |
MountainHealth Co-op Setting Professional Modifier 50 · Both sides Typical Low $380.19 Median $380.19 Typical High $426.58 | Professional | 50 · Both sides | $380.19 | $380.19 | $426.58 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $28.84 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $28.84 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $190.55 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $190.55 | $190.55 | $213.80 |
Where Idaho sits
The same service costs 4.5 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· 9th of 51
$191
AK $407FL $91.20
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.