How much rates vary
Facilitymedian $162 · 10th to 90th $83 to $324Professionalmedian $95 · 10th to 90th $76 to $138
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 $104.71 Median $107.15 Typical High $134.90 | Facility | None | $104.71 | $107.15 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $91.20 Typical High $100.00 | Professional | None | $79.43 | $91.20 | $100.00 |
BCBS Idaho Setting Facility Modifier None Typical Low $79.43 Median $144.54 Typical High $263.03 | Facility | None | $79.43 | $144.54 | $263.03 |
BCBS Idaho Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $138.04 | Professional | None | $95.50 | $117.49 | $138.04 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $67.61 Median $93.33 Typical High $100.00 | Professional | 78 · Unplanned return to OR | $67.61 | $93.33 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $95.50 Typical High $114.82 | Professional | None | $79.43 | $95.50 | $114.82 |
Moda Health Setting Facility Modifier None Typical Low $104.71 Median $239.88 Typical High $467.74 | Facility | None | $104.71 | $239.88 | $467.74 |
Moda Health Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $158.49 | Professional | None | $81.28 | $91.20 | $158.49 |
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 $104.71 Median $117.49 Typical High $117.49 | Facility | None | $104.71 | $117.49 | $117.49 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $120.23 | Professional | None | $97.72 | $117.49 | $120.23 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 78 · Unplanned return to OR | $72.44 | $72.44 | $72.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $120.23 Median $173.78 Typical High $229.09 | Facility | None | $120.23 | $173.78 | $229.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $112.20 | Professional | None | $81.28 | $95.50 | $112.20 |
Select Health Setting Facility Modifier None Typical Low $61.66 Median $63.10 Typical High $251.19 | Facility | None | $61.66 | $63.10 | $251.19 |
Select Health Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $117.49 | Professional | None | $61.66 | $61.66 | $117.49 |
United Setting Professional Modifier None Typical Low $67.61 Median $89.13 Typical High $125.89 | Professional | None | $67.61 | $89.13 | $125.89 |
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 $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 $67.61 Median $67.61 Typical High $67.61 | Professional | 54 · Surgery only | $67.61 | $67.61 | $67.61 |
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 |
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· 18th of 51
$97.72
AK $174FL $58.88
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.