How much rates vary
Facilitymedian $933 · 10th to 90th $100 to $2,138Professionalmedian $100 · 10th to 90th $74 to $135
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 Professional Modifier None Typical Low $70.79 Median $100.00 Typical High $100.00 | Professional | None | $70.79 | $100.00 | $100.00 |
BCBS Idaho Setting Facility Modifier None Typical Low $416.87 Median $1,047.13 Typical High $2,137.96 | Facility | None | $416.87 | $1,047.13 | $2,137.96 |
BCBS Idaho Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $134.90 | Professional | None | $97.72 | $117.49 | $134.90 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $69.18 Median $89.13 Typical High $97.72 | Professional | 78 · Unplanned return to OR | $69.18 | $89.13 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $125.89 | Professional | None | $85.11 | $104.71 | $125.89 |
Moda Health Setting Facility Modifier None Typical Low $85.11 Median $100.00 Typical High $1,445.44 | Facility | None | $85.11 | $100.00 | $1,445.44 |
Moda Health Setting Professional Modifier None Typical Low $70.79 Median $100.00 Typical High $123.03 | Professional | None | $70.79 | $100.00 | $123.03 |
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 $100.00 Median $112.20 Typical High $112.20 | Facility | None | $100.00 | $112.20 | $112.20 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $100.00 Median $112.20 Typical High $112.20 | Professional | None | $100.00 | $112.20 | $112.20 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 78 · Unplanned return to OR | $74.13 | $74.13 | $74.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,258.93 Median $1,778.28 Typical High $2,290.87 | Facility | None | $1,258.93 | $1,778.28 | $2,290.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $134.90 | Professional | None | $83.18 | $97.72 | $134.90 |
Select Health Setting Facility Modifier None Typical Low $47.86 Median $58.88 Typical High $933.25 | Facility | None | $47.86 | $58.88 | $933.25 |
Select Health Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $114.82 | Professional | None | $58.88 | $58.88 | $114.82 |
United Setting Professional Modifier None Typical Low $77.62 Median $100.00 Typical High $138.04 | Professional | None | $77.62 | $100.00 | $138.04 |
12 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 $38.02 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $38.02 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $15.14 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $15.14 Typical High $15.14 | Professional | 55 · Aftercare only | $11.48 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $10.00 Typical High $10.00 | Professional | 56 · Pre-op care only | $7.59 | $10.00 | $10.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $44.67 | $50.12 | $50.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $17.78 | $19.95 | $19.95 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $15.14 Typical High $15.14 | Professional | 55 · Aftercare only | $13.18 | $15.14 | $15.14 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $10.00 Typical High $10.00 | Professional | 56 · Pre-op care only | $8.91 | $10.00 | $10.00 |
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 22 · Increased work | $109.65 | $109.65 | $109.65 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 54 · Surgery only | $69.18 | $69.18 | $69.18 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 56 · Pre-op care only | $10.00 | $10.00 | $10.00 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 63 · Small infant | $109.65 | $109.65 | $109.65 |
Where Idaho sits
The same service costs 3.2 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· 13th of 51
$102
AK $182FL $57.54
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.