How much rates vary
Facilitymedian $513 · 10th to 90th $100 to $955Professionalmedian $93 · 10th to 90th $58 to $126
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 $100.00 Median $100.00 Typical High $467.74 | Facility | None | $100.00 | $100.00 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $64.57 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $29.51 | $38.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $43.65 Typical High $47.86 | Professional | TC · Technical part | $34.67 | $43.65 | $47.86 |
BCBS Idaho Setting Facility Modifier None Typical Low $251.19 Median $588.84 Typical High $812.83 | Facility | None | $251.19 | $588.84 | $812.83 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $93.33 Median $97.72 Typical High $147.91 | Professional | None (both parts) | $93.33 | $97.72 | $147.91 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $40.74 | $43.65 | $63.10 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $54.95 Typical High $85.11 | Professional | TC · Technical part | $53.70 | $54.95 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $79.43 Typical High $97.72 | Professional | None (both parts) | $57.54 | $79.43 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $46.77 | Professional | 26 · Professional part | $27.54 | $38.02 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $41.69 Typical High $51.29 | Professional | TC · Technical part | $30.20 | $41.69 | $51.29 |
Moda Health Setting Facility Modifier None Typical Low $83.18 Median $467.74 Typical High $1,071.52 | Facility | None | $83.18 | $467.74 | $1,071.52 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $83.18 Typical High $123.03 | Professional | None (both parts) | $77.62 | $83.18 | $123.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $50.12 | Professional | 26 · Professional part | $32.36 | $38.90 | $50.12 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $43.65 Typical High $72.44 | Professional | TC · Technical part | $40.74 | $43.65 | $72.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $100.00 Median $117.49 Typical High $117.49 | Facility | None | $100.00 | $117.49 | $117.49 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $16.22 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $16.22 | $117.49 | $117.49 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $46.77 | $46.77 | $46.77 |
Regence BlueShield Setting Facility Modifier None Typical Low $512.86 Median $741.31 Typical High $1,023.29 | Facility | None | $512.86 | $741.31 | $1,023.29 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $102.33 | Professional | None (both parts) | $93.33 | $93.33 | $102.33 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $47.86 | Professional | 26 · Professional part | $40.74 | $40.74 | $47.86 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $53.70 Typical High $54.95 | Professional | TC · Technical part | $52.48 | $53.70 | $54.95 |
Select Health Setting Facility Modifier None Typical Low $64.57 Median $66.07 Typical High $457.09 | Facility | None | $64.57 | $66.07 | $457.09 |
Select Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $64.57 Typical High $120.23 | Professional | None (both parts) | $63.10 | $64.57 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $81.28 Typical High $112.20 | Professional | None (both parts) | $63.10 | $81.28 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.90 Typical High $52.48 | Professional | 26 · Professional part | $29.51 | $38.90 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $41.69 Typical High $58.88 | Professional | TC · Technical part | $32.36 | $41.69 | $58.88 |
10 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 $38.90 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $38.90 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $15.49 | $16.60 | $16.60 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $69.18 Median $97.72 Typical High $107.15 | Professional | 78 · Unplanned return to OR | $69.18 | $97.72 | $107.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $41.69 | $41.69 | $41.69 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $16.60 | $16.60 | $16.60 |
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 22 · Increased work | $107.15 | $107.15 | $107.15 |
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 $9.77 Median $9.77 Typical High $9.77 | Professional | 56 · Pre-op care only | $9.77 | $9.77 | $9.77 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 63 · Small infant | $107.15 | $107.15 | $107.15 |
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 |
Where Idaho sits
The same service costs 3.6 times more in Minnesota than in Texas. 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
$93.33
MN $141TX $38.90
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.