How much rates vary
Facilitymedian $1,479 · 10th to 90th $776 to $5,754Professionalmedian $575 · 10th to 90th $224 to $1,820
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 $239.88 Median $707.95 Typical High $1,862.09 | Professional | None | $239.88 | $707.95 | $1,862.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $602.56 Typical High $1,412.54 | Professional | 54 · Surgery only | $251.19 | $602.56 | $1,412.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $562.34 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $234.42 | $562.34 | $1,318.26 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,318.26 Median $1,819.70 Typical High $6,025.60 | Facility | None | $1,318.26 | $1,819.70 | $6,025.60 |
BCBS Idaho Setting Professional Modifier None Typical Low $251.19 Median $1,230.27 Typical High $1,819.70 | Professional | None | $251.19 | $1,230.27 | $1,819.70 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $1,230.27 Typical High $1,621.81 | Professional | 54 · Surgery only | $218.78 | $1,230.27 | $1,621.81 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $870.96 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $169.82 | $870.96 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $1,819.70 | Facility | None | $1,202.26 | $1,348.96 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $302.00 Typical High $1,348.96 | Professional | None | $194.98 | $302.00 | $1,348.96 |
Moda Health Setting Facility Modifier None Typical Low $234.42 Median $1,412.54 Typical High $5,495.41 | Facility | None | $234.42 | $1,412.54 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $234.42 Median $707.95 Typical High $1,862.09 | Professional | None | $234.42 | $707.95 | $1,862.09 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $251.19 Typical High $1,412.54 | Professional | 54 · Surgery only | $251.19 | $251.19 | $1,412.54 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $234.42 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $234.42 | $234.42 | $1,318.26 |
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 $263.03 Median $263.03 Typical High $1,621.81 | Facility | None | $263.03 | $263.03 | $1,621.81 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $229.09 Median $1,412.54 Typical High $2,041.74 | Professional | None | $229.09 | $1,412.54 | $2,041.74 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $275.42 Typical High $1,445.44 | Professional | 54 · Surgery only | $275.42 | $275.42 | $1,445.44 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $295.12 | $295.12 | $1,548.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,890.45 Median $5,495.41 Typical High $7,585.78 | Facility | None | $3,890.45 | $5,495.41 | $7,585.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $263.03 Median $1,202.26 Typical High $1,698.24 | Professional | None | $263.03 | $1,202.26 | $1,698.24 |
Select Health Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $3,890.45 | Facility | None | $776.25 | $776.25 | $3,890.45 |
Select Health Setting Professional Modifier None Typical Low $281.84 Median $776.25 Typical High $1,445.44 | Professional | None | $281.84 | $776.25 | $1,445.44 |
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 $199.53 Median $575.44 Typical High $1,348.96 | Professional | None | $199.53 | $575.44 | $1,348.96 |
6 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 Facility Modifier 50 · Both sides Typical Low $1,995.26 Median $2,511.89 Typical High $9,120.11 | Facility | 50 · Both sides | $1,995.26 | $2,511.89 | $9,120.11 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $363.08 Median $446.68 Typical High $3,090.30 | Professional | 50 · Both sides | $363.08 | $446.68 | $3,090.30 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $147.91 Typical High $204.17 | Professional | 55 · Aftercare only | $24.55 | $147.91 | $204.17 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $302.00 Median $354.81 Typical High $2,454.71 | Professional | 63 · Small infant | $302.00 | $354.81 | $2,454.71 |
MountainHealth Co-op Setting Professional Modifier 50 · Both sides Typical Low $588.84 Median $588.84 Typical High $3,090.30 | Professional | 50 · Both sides | $588.84 | $588.84 | $3,090.30 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $204.17 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $204.17 |
Where Idaho sits
The same service costs 3.5 times more in Colorado than in Montana. 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.
Physician feeFacility fee
CO $4,667MT $1,347
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.