How much rates vary
Facilitymedian $537 · 10th to 90th $355 to $1,905Professionalmedian $1,905 · 10th to 90th $955 to $2,455
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 $1,621.81 Median $4,466.84 Typical High $7,244.36 | Facility | None | $1,621.81 | $4,466.84 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $2,454.71 Typical High $2,454.71 | Professional | None | $1,288.25 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,862.09 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,288.25 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,737.80 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,737.80 | $1,737.80 |
BCBS Idaho Setting Facility Modifier None Typical Low $389.05 Median $467.74 Typical High $1,513.56 | Facility | None | $389.05 | $467.74 | $1,513.56 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $588.84 Median $707.95 Typical High $2,290.87 | Facility | 50 · Both sides | $588.84 | $707.95 | $2,290.87 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,737.80 Median $2,089.30 Typical High $2,884.03 | Professional | None | $1,737.80 | $2,089.30 | $2,884.03 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $2,570.40 Median $3,090.30 Typical High $4,265.80 | Professional | 50 · Both sides | $2,570.40 | $3,090.30 | $4,265.80 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,862.09 Typical High $2,570.40 | Professional | 54 · Surgery only | $1,548.82 | $1,862.09 | $2,570.40 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,445.44 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,445.44 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $371.54 Typical High $501.19 | Facility | None | $331.13 | $371.54 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,621.81 Typical High $1,819.70 | Professional | None | $912.01 | $1,621.81 | $1,819.70 |
Moda Health Setting Facility Modifier None Typical Low $912.01 Median $2,454.71 Typical High $5,495.41 | Facility | None | $912.01 | $2,454.71 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,905.46 Typical High $2,454.71 | Professional | None | $1,258.93 | $1,905.46 | $2,454.71 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,862.09 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,348.96 | $1,862.09 | $1,862.09 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,737.80 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,737.80 | $1,737.80 |
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 $1,548.82 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,548.82 | $1,905.46 | $1,905.46 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,659.59 Median $1,905.46 Typical High $2,884.03 | Professional | None | $1,659.59 | $1,905.46 | $2,884.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $977.24 Median $1,380.38 Typical High $1,905.46 | Facility | None | $977.24 | $1,380.38 | $1,905.46 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,905.46 Median $2,290.87 Typical High $2,290.87 | Professional | None | $1,905.46 | $2,290.87 | $2,290.87 |
Select Health Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,230.27 | Facility | None | $912.01 | $912.01 | $1,230.27 |
Select Health Setting Professional Modifier None Typical Low $269.15 Median $912.01 Typical High $2,089.30 | Professional | None | $269.15 | $912.01 | $2,089.30 |
United Setting Facility Modifier None Typical Low $363.08 Median $501.19 Typical High $724.44 | Facility | None | $363.08 | $501.19 | $724.44 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $2,187.76 | Professional | None | $1,148.15 | $1,548.82 | $2,187.76 |
2 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 |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $204.17 Typical High $288.40 | Professional | 55 · Aftercare only | $173.78 | $204.17 | $288.40 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,089.30 Median $2,454.71 Typical High $3,467.37 | Professional | 63 · Small infant | $2,089.30 | $2,454.71 | $3,467.37 |
Where Idaho sits
The same service costs 6.3 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
$1,778
WY $3,388TX $537
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.