How much rates vary
Facilitymedian $347 · 10th to 90th $151 to $1,820Professionalmedian $240 · 10th to 90th $162 to $355
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 $263.03 Median $398.11 Typical High $5,495.41 | Facility | None | $263.03 | $398.11 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $218.78 Typical High $331.13 | Professional | None | $123.03 | $218.78 | $331.13 |
BCBS Idaho Setting Facility Modifier None Typical Low $131.83 Median $204.17 Typical High $2,137.96 | Facility | None | $131.83 | $204.17 | $2,137.96 |
BCBS Idaho Setting Professional Modifier None Typical Low $194.98 Median $288.40 Typical High $407.38 | Professional | None | $194.98 | $288.40 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $165.96 Typical High $229.09 | Facility | None | $147.91 | $165.96 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $208.93 Typical High $295.12 | Professional | None | $169.82 | $208.93 | $295.12 |
Moda Health Setting Facility Modifier None Typical Low $177.83 Median $331.13 Typical High $1,479.11 | Facility | None | $177.83 | $331.13 | $1,479.11 |
Moda Health Setting Professional Modifier None Typical Low $177.83 Median $263.03 Typical High $363.08 | Professional | None | $177.83 | $263.03 | $363.08 |
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 $213.80 Median $213.80 Typical High $346.74 | Facility | None | $213.80 | $213.80 | $346.74 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $199.53 Median $323.59 Typical High $416.87 | Professional | None | $199.53 | $323.59 | $416.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,202.26 Median $1,737.80 Typical High $2,290.87 | Facility | None | $1,202.26 | $1,737.80 | $2,290.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $194.98 Median $257.04 Typical High $309.03 | Professional | None | $194.98 | $257.04 | $309.03 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $181.97 Typical High $588.84 | Facility | None | $177.83 | $181.97 | $588.84 |
Select Health Setting Professional Modifier None Typical Low $144.54 Median $177.83 Typical High $234.42 | Professional | None | $144.54 | $177.83 | $234.42 |
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 $131.83 Median $208.93 Typical High $346.74 | Professional | None | $131.83 | $208.93 | $346.74 |
18 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 $81.28 Median $109.65 Typical High $165.96 | Professional | 52 · Reduced service | $81.28 | $109.65 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $43.65 Typical High $66.07 | Professional | 53 · Discontinued | $32.36 | $43.65 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $165.96 Typical High $251.19 | Professional | 54 · Surgery only | $120.23 | $165.96 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $33.11 Typical High $50.12 | Professional | 55 · Aftercare only | $24.55 | $33.11 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $21.88 Typical High $33.11 | Professional | 56 · Pre-op care only | $16.22 | $21.88 | $33.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $154.88 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $112.20 | $154.88 | $234.42 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $190.55 Median $275.42 Typical High $3,162.28 | Facility | 50 · Both sides | $190.55 | $275.42 | $3,162.28 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $316.23 Median $467.74 Typical High $602.56 | Professional | 50 · Both sides | $316.23 | $467.74 | $602.56 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $223.87 Typical High $354.81 | Professional | 54 · Surgery only | $190.55 | $223.87 | $354.81 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $30.90 Typical High $41.69 | Professional | 55 · Aftercare only | $20.89 | $30.90 | $41.69 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $251.19 Median $309.03 Typical High $501.19 | Professional | 63 · Small infant | $251.19 | $309.03 | $501.19 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $177.83 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $147.91 | $177.83 | $288.40 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $109.65 Typical High $165.96 | Professional | 52 · Reduced service | $81.28 | $109.65 | $165.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $43.65 Typical High $66.07 | Professional | 53 · Discontinued | $32.36 | $43.65 | $66.07 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $165.96 Typical High $251.19 | Professional | 54 · Surgery only | $120.23 | $165.96 | $251.19 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $33.11 Typical High $50.12 | Professional | 55 · Aftercare only | $24.55 | $33.11 | $50.12 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $21.88 Typical High $33.11 | Professional | 56 · Pre-op care only | $16.22 | $21.88 | $33.11 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $154.88 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $112.20 | $154.88 | $234.42 |
Where Idaho sits
The same service costs 4.1 times more in Alaska than in Kentucky. 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· 11th of 51
$245
AK $513KY $126
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.