How much rates vary
Facilitymedian $126 · 10th to 90th $78 to $251Professionalmedian $123 · 10th to 90th $30 to $166
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 $89.13 Median $123.03 Typical High $123.03 | Professional | None | $89.13 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $44.67 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $18.20 | $24.55 | $24.55 |
BCBS Idaho Setting Facility Modifier None Typical Low $77.62 Median $123.03 Typical High $251.19 | Facility | None | $77.62 | $123.03 | $251.19 |
BCBS Idaho Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $128.82 | Professional | None | $120.23 | $120.23 | $128.82 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $79.43 Median $83.18 Typical High $83.18 | Professional | 78 · Unplanned return to OR | $79.43 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $125.89 Typical High $147.91 | Professional | None | $97.72 | $125.89 | $147.91 |
Moda Health Setting Facility Modifier None Typical Low $102.33 Median $123.03 Typical High $173.78 | Facility | None | $102.33 | $123.03 | $173.78 |
Moda Health Setting Professional Modifier None Typical Low $95.50 Median $123.03 Typical High $512.86 | Professional | None | $95.50 | $123.03 | $512.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $51.29 | $61.66 | $61.66 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $20.42 | $24.55 | $24.55 |
Molina Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $30.20 | Professional | None | $16.98 | $19.95 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $147.91 Median $165.96 Typical High $165.96 | Facility | None | $147.91 | $165.96 | $165.96 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $165.96 | Professional | None | $120.23 | $165.96 | $165.96 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 78 · Unplanned return to OR | $89.13 | $89.13 | $89.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $173.78 | Professional | None | $109.65 | $128.82 | $173.78 |
Select Health Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $8,511.38 | Professional | None | $120.23 | $120.23 | $8,511.38 |
United Setting Professional Modifier None Typical Low $85.11 Median $109.65 Typical High $154.88 | Professional | None | $85.11 | $109.65 | $154.88 |
4 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 |
|---|---|---|---|---|---|
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 22 · Increased work | $131.83 | $131.83 | $131.83 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 54 · Surgery only | $83.18 | $83.18 | $83.18 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 56 · Pre-op care only | $12.02 | $12.02 | $12.02 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 63 · Small infant | $131.83 | $131.83 | $131.83 |
Where Idaho sits
The same service costs 4.3 times more in Alaska than in Pennsylvania. 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
$123
AK $200PA $46.77
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.