How much rates vary
Facilitymedian $692 · 10th to 90th $427 to $933Professionalmedian $708 · 10th to 90th $525 to $1,072
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $501.19 Median $691.83 Typical High $691.83 | Professional | None | $501.19 | $691.83 | $691.83 |
BCBS Idaho Setting Facility Modifier None Typical Low $426.58 Median $645.65 Typical High $851.14 | Facility | None | $426.58 | $645.65 | $851.14 |
BCBS Idaho Setting Professional Modifier None Typical Low $691.83 Median $1,000.00 Typical High $1,122.02 | Professional | None | $691.83 | $1,000.00 | $1,122.02 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $741.31 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $489.78 | $741.31 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $724.44 Typical High $851.14 | Professional | None | $575.44 | $724.44 | $851.14 |
Moda Health Setting Facility Modifier None Typical Low $645.65 Median $691.83 Typical High $1,000.00 | Facility | None | $645.65 | $691.83 | $1,000.00 |
Moda Health Setting Professional Modifier None Typical Low $645.65 Median $691.83 Typical High $912.01 | Professional | None | $645.65 | $691.83 | $912.01 |
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 $851.14 Median $933.25 Typical High $933.25 | Facility | None | $851.14 | $933.25 | $933.25 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $933.25 | Professional | None | $707.95 | $933.25 | $933.25 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $524.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $588.84 Median $691.83 Typical High $851.14 | Professional | None | $588.84 | $691.83 | $851.14 |
Select Health Setting Facility Modifier None Typical Low $398.11 Median $489.78 Typical High $501.19 | Facility | None | $398.11 | $489.78 | $501.19 |
Select Health Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $812.83 | Professional | None | $489.78 | $489.78 | $812.83 |
United Setting Professional Modifier None Typical Low $467.74 Median $602.56 Typical High $831.76 | Professional | None | $467.74 | $602.56 | $831.76 |
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 $251.19 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $251.19 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $102.33 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $75.86 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $50.12 | $69.18 | $69.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $295.12 | $346.74 | $346.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $117.49 | $141.25 | $141.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $89.13 | $104.71 | $104.71 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $58.88 | $69.18 | $69.18 |
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 22 · Increased work | $776.25 | $776.25 | $776.25 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $489.78 | $489.78 | $489.78 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $70.79 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 63 · Small infant | $776.25 | $776.25 | $776.25 |
Where Idaho sits
The same service costs 3.2 times more in Alaska than in New York. 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· 14th of 51
$708
AK $1,202NY $380
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.