How much rates vary
Facilitymedian $372 · 10th to 90th $145 to $1,023Professionalmedian $151 · 10th to 90th $120 to $214
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 $123.03 Median $144.54 Typical High $144.54 | Professional | None | $123.03 | $144.54 | $144.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $177.83 Median $398.11 Typical High $1,023.29 | Facility | None | $177.83 | $398.11 | $1,023.29 |
BCBS Idaho Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $223.87 | Professional | None | $151.36 | $186.21 | $223.87 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $144.54 Typical High $158.49 | Professional | 78 · Unplanned return to OR | $109.65 | $144.54 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $173.78 | Professional | None | $120.23 | $151.36 | $173.78 |
Moda Health Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $208.93 | Facility | None | $144.54 | $144.54 | $208.93 |
Moda Health Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $186.21 | Professional | None | $144.54 | $144.54 | $186.21 |
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 $165.96 Median $186.21 Typical High $186.21 | Facility | None | $165.96 | $186.21 | $186.21 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $154.88 Median $186.21 Typical High $186.21 | Professional | None | $154.88 | $186.21 | $186.21 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 78 · Unplanned return to OR | $117.49 | $117.49 | $117.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $602.56 Median $870.96 Typical High $1,096.48 | Facility | None | $602.56 | $870.96 | $1,096.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $177.83 | Professional | None | $128.82 | $151.36 | $177.83 |
Select Health Setting Facility Modifier None Typical Low $95.50 Median $97.72 Typical High $371.54 | Facility | None | $95.50 | $97.72 | $371.54 |
Select Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $190.55 | Professional | None | $95.50 | $95.50 | $190.55 |
United Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $190.55 | Professional | None | $109.65 | $141.25 | $190.55 |
12 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 $61.66 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $61.66 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $24.55 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $21.88 Typical High $21.88 | Professional | 55 · Aftercare only | $18.62 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $14.45 Typical High $14.45 | Professional | 56 · Pre-op care only | $12.30 | $14.45 | $14.45 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $70.79 | $72.44 | $72.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $21.88 Typical High $21.88 | Professional | 55 · Aftercare only | $21.38 | $21.88 | $21.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 56 · Pre-op care only | $14.45 | $14.45 | $14.45 |
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 22 · Increased work | $169.82 | $169.82 | $169.82 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 54 · Surgery only | $109.65 | $109.65 | $109.65 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $15.49 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 63 · Small infant | $169.82 | $169.82 | $169.82 |
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· 16th of 51
$155
AK $275FL $91.20
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.