How much rates vary
Facilitymedian $195 · 10th to 90th $63 to $501Professionalmedian $66 · 10th to 90th $54 to $93
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 $47.86 Median $54.95 Typical High $66.07 | Professional | None | $47.86 | $54.95 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $27.54 Typical High $33.11 | Professional | 52 · Reduced service | $25.12 | $27.54 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.96 Typical High $13.18 | Professional | 53 · Discontinued | $10.00 | $10.96 | $13.18 |
BCBS Idaho Setting Facility Modifier None Typical Low $138.04 Median $295.12 Typical High $524.81 | Facility | None | $138.04 | $295.12 | $524.81 |
BCBS Idaho Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $107.15 | Professional | None | $57.54 | $72.44 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $67.61 Typical High $77.62 | Professional | None | $56.23 | $67.61 | $77.62 |
Moda Health Setting Facility Modifier None Typical Low $48.98 Median $54.95 Typical High $77.62 | Facility | None | $48.98 | $54.95 | $77.62 |
Moda Health Setting Professional Modifier None Typical Low $53.70 Median $66.07 Typical High $85.11 | Professional | None | $53.70 | $66.07 | $85.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $27.54 Typical High $33.11 | Professional | 52 · Reduced service | $25.12 | $27.54 | $33.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.96 Typical High $13.18 | Professional | 53 · Discontinued | $10.00 | $10.96 | $13.18 |
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 $63.10 Median $63.10 Typical High $91.20 | Facility | None | $63.10 | $63.10 | $91.20 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $93.33 | Professional | None | $63.10 | $63.10 | $93.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $181.97 Median $251.19 Typical High $331.13 | Facility | None | $181.97 | $251.19 | $331.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $53.70 Median $70.79 Typical High $85.11 | Professional | None | $53.70 | $70.79 | $85.11 |
Select Health Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $436.52 | Facility | None | $47.86 | $47.86 | $436.52 |
Select Health Setting Professional Modifier None Typical Low $40.74 Median $53.70 Typical High $61.66 | Professional | None | $40.74 | $53.70 | $61.66 |
United Setting Professional Modifier None Typical Low $44.67 Median $64.57 Typical High $95.50 | Professional | None | $44.67 | $64.57 | $95.50 |
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 $43.65 Median $52.48 Typical High $75.86 | Professional | 78 · Unplanned return to OR | $43.65 | $52.48 | $75.86 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $42.66 Typical High $52.48 | Professional | 54 · Surgery only | $42.66 | $42.66 | $52.48 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.03 Typical High $7.59 | Professional | 56 · Pre-op care only | $6.03 | $6.03 | $7.59 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $45.71 Median $45.71 Typical High $56.23 | Professional | 78 · Unplanned return to OR | $45.71 | $45.71 | $56.23 |
Where Idaho sits
The same service costs 2.8 times more in Alaska than in Maryland. 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
$66.07
AK $105MD $37.15
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.