How much rates vary
Facilitymedian $72 · 10th to 90th $21 to $162Professionalmedian $22 · 10th to 90th $14 to $26
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 $16.98 Median $20.89 Typical High $21.38 | Professional | None | $16.98 | $20.89 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $10.47 Typical High $10.72 | Professional | 52 · Reduced service | $8.51 | $10.47 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $4.27 Typical High $4.27 | Professional | 53 · Discontinued | $3.47 | $4.27 | $4.27 |
BCBS Idaho Setting Facility Modifier None Typical Low $34.67 Median $81.28 Typical High $169.82 | Facility | None | $34.67 | $81.28 | $169.82 |
BCBS Idaho Setting Professional Modifier None Typical Low $18.20 Median $22.39 Typical High $27.54 | Professional | None | $18.20 | $22.39 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $12.30 Typical High $21.38 | Professional | None | $12.02 | $12.30 | $21.38 |
Moda Health Setting Facility Modifier None Typical Low $19.05 Median $20.89 Typical High $30.20 | Facility | None | $19.05 | $20.89 | $30.20 |
Moda Health Setting Professional Modifier None Typical Low $17.38 Median $21.38 Typical High $26.30 | Professional | None | $17.38 | $21.38 | $26.30 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $10.47 Typical High $10.72 | Professional | 52 · Reduced service | $9.55 | $10.47 | $10.72 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.27 Typical High $4.27 | Professional | 53 · Discontinued | $3.89 | $4.27 | $4.27 |
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 $23.44 Median $23.44 Typical High $27.54 | Facility | None | $23.44 | $23.44 | $27.54 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3.72 Median $23.44 Typical High $27.54 | Professional | None | $3.72 | $23.44 | $27.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $66.07 Median $93.33 Typical High $131.83 | Facility | None | $66.07 | $93.33 | $131.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $21.88 Median $22.39 Typical High $26.30 | Professional | None | $21.88 | $22.39 | $26.30 |
Select Health Setting Facility Modifier None Typical Low $14.79 Median $15.14 Typical High $128.82 | Facility | None | $14.79 | $15.14 | $128.82 |
Select Health Setting Professional Modifier None Typical Low $12.30 Median $14.79 Typical High $20.89 | Professional | None | $12.30 | $14.79 | $20.89 |
United Setting Professional Modifier None Typical Low $13.18 Median $16.98 Typical High $23.44 | Professional | None | $13.18 | $16.98 | $23.44 |
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 |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $15.85 Median $18.62 Typical High $19.50 | Professional | 78 · Unplanned return to OR | $15.85 | $18.62 | $19.50 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $13.18 Median $13.18 Typical High $13.49 | Professional | 54 · Surgery only | $13.18 | $13.18 | $13.49 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $1.91 Typical High $1.95 | Professional | 56 · Pre-op care only | $1.91 | $1.91 | $1.95 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $14.13 Median $14.13 Typical High $14.45 | Professional | 78 · Unplanned return to OR | $14.13 | $14.13 | $14.45 |
Where Idaho sits
The same service costs 2.7 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· 8th of 51
$21.88
AK $34.67FL $12.88
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.