How much rates vary
Facilitymedian $158 · 10th to 90th $102 to $275Professionalmedian $110 · 10th to 90th $83 to $148
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 $109.65 Median $123.03 Typical High $154.88 | Facility | None | $109.65 | $123.03 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $102.33 Typical High $104.71 | Professional | None | $81.28 | $102.33 | $104.71 |
BCBS Idaho Setting Facility Modifier None Typical Low $95.50 Median $141.25 Typical High $245.47 | Facility | None | $95.50 | $141.25 | $245.47 |
BCBS Idaho Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $151.36 | Professional | None | $107.15 | $128.82 | $151.36 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $77.62 Median $100.00 Typical High $109.65 | Professional | 78 · Unplanned return to OR | $77.62 | $100.00 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $109.65 Typical High $125.89 | Professional | None | $87.10 | $109.65 | $125.89 |
Moda Health Setting Facility Modifier None Typical Low $112.20 Median $213.80 Typical High $407.38 | Facility | None | $112.20 | $213.80 | $407.38 |
Moda Health Setting Professional Modifier None Typical Low $83.18 Median $102.33 Typical High $131.83 | Professional | None | $83.18 | $102.33 | $131.83 |
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 $112.20 Median $125.89 Typical High $125.89 | Facility | None | $112.20 | $125.89 | $125.89 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $128.82 | Professional | None | $109.65 | $125.89 | $128.82 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 78 · Unplanned return to OR | $83.18 | $83.18 | $83.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $120.23 Median $181.97 Typical High $234.42 | Facility | None | $120.23 | $181.97 | $234.42 |
Regence BlueShield Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $125.89 | Professional | None | $91.20 | $107.15 | $125.89 |
Select Health Setting Facility Modifier None Typical Low $66.07 Median $67.61 Typical High $269.15 | Facility | None | $66.07 | $67.61 | $269.15 |
Select Health Setting Professional Modifier None Typical Low $66.07 Median $85.11 Typical High $131.83 | Professional | None | $66.07 | $85.11 | $131.83 |
United Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $141.25 | Professional | None | $75.86 | $100.00 | $141.25 |
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 $120.23 Median $120.23 Typical High $120.23 | Professional | 22 · Increased work | $120.23 | $120.23 | $120.23 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 54 · Surgery only | $77.62 | $77.62 | $77.62 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $10.96 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 63 · Small infant | $120.23 | $120.23 | $120.23 |
Where Idaho sits
The same service costs 3.0 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· 17th of 51
$110
AK $195FL $64.57
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.