How much rates vary
Facilitymedian $1,698 · 10th to 90th $955 to $6,026Professionalmedian $933 · 10th to 90th $589 to $1,202
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 $851.14 Median $1,202.26 Typical High $1,202.26 | Professional | None | $851.14 | $1,202.26 | $1,202.26 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,584.89 Median $2,630.27 Typical High $6,025.60 | Facility | None | $1,584.89 | $2,630.27 | $6,025.60 |
BCBS Idaho Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,380.38 | Professional | None | $891.25 | $1,071.52 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $2,089.30 | Facility | None | $1,380.38 | $1,548.82 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $758.58 Typical High $870.96 | Professional | None | $416.87 | $758.58 | $870.96 |
Moda Health Setting Facility Modifier None Typical Low $512.86 Median $1,202.26 Typical High $5,495.41 | Facility | None | $512.86 | $1,202.26 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $676.08 Median $933.25 Typical High $1,202.26 | Professional | None | $676.08 | $933.25 | $1,202.26 |
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 $794.33 Median $954.99 Typical High $954.99 | Facility | None | $794.33 | $954.99 | $954.99 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,380.38 | Professional | None | $831.76 | $954.99 | $1,380.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,073.80 Median $5,754.40 Typical High $7,585.78 | Facility | None | $4,073.80 | $5,754.40 | $7,585.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,096.48 | Professional | None | $933.25 | $1,096.48 | $1,096.48 |
Select Health Setting Facility Modifier None Typical Low $457.09 Median $467.74 Typical High $4,786.30 | Facility | None | $457.09 | $467.74 | $4,786.30 |
Select Health Setting Professional Modifier None Typical Low $457.09 Median $707.95 Typical High $1,698.24 | Professional | None | $457.09 | $707.95 | $1,698.24 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $1,621.81 | Facility | None | $1,047.13 | $1,412.54 | $1,621.81 |
United Setting Professional Modifier None Typical Low $537.03 Median $724.44 Typical High $1,023.29 | Professional | None | $537.03 | $724.44 | $1,023.29 |
19 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 $426.58 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $426.58 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $169.82 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $630.96 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $125.89 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $85.11 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $588.84 | $831.76 | $831.76 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $2,344.23 Median $3,715.35 Typical High $9,120.11 | Facility | 50 · Both sides | $2,344.23 | $3,715.35 | $9,120.11 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $1,348.96 Median $1,584.89 Typical High $2,089.30 | Professional | 50 · Both sides | $1,348.96 | $1,584.89 | $2,089.30 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $933.25 Typical High $1,230.27 | Professional | 54 · Surgery only | $776.25 | $933.25 | $1,230.27 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $102.33 Typical High $138.04 | Professional | 55 · Aftercare only | $87.10 | $102.33 | $138.04 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $537.03 Median $645.65 Typical High $870.96 | Professional | 62 · Two surgeons | $537.03 | $645.65 | $870.96 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,047.13 Median $1,230.27 Typical High $1,659.59 | Professional | 63 · Small infant | $1,047.13 | $1,230.27 | $1,659.59 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $724.44 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $602.56 | $724.44 | $977.24 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $426.58 | $602.56 | $602.56 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $173.78 | $239.88 | $239.88 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $645.65 | $891.25 | $891.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $128.82 | $177.83 | $177.83 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $87.10 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $602.56 | $831.76 | $831.76 |
Where Idaho sits
The same service costs 8.3 times more in Wyoming than in Texas. 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· 10th of 51
$1,072
WY $2,512TX $302
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.