How much rates vary
Facilitymedian $85 · 10th to 90th $51 to $417Professionalmedian $89 · 10th to 90th $74 to $117
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $61.66 Median $85.11 Typical High $85.11 | Professional | None | $61.66 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $15.85 | $16.98 | $16.98 |
BCBS Idaho Setting Facility Modifier None Typical Low $51.29 Median $77.62 Typical High $416.87 | Facility | None | $51.29 | $77.62 | $416.87 |
BCBS Idaho Setting Professional Modifier None Typical Low $74.13 Median $95.50 Typical High $117.49 | Professional | None | $74.13 | $95.50 | $117.49 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $63.10 Median $77.62 Typical High $81.28 | Professional | 78 · Unplanned return to OR | $63.10 | $77.62 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $83.18 Typical High $102.33 | Professional | None | $77.62 | $83.18 | $102.33 |
Moda Health Setting Facility Modifier None Typical Low $79.43 Median $85.11 Typical High $123.03 | Facility | None | $79.43 | $85.11 | $123.03 |
Moda Health Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $109.65 | Professional | None | $79.43 | $85.11 | $109.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $15.85 | $16.98 | $16.98 |
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 $87.10 Median $95.50 Typical High $95.50 | Facility | None | $87.10 | $95.50 | $95.50 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $89.13 Median $95.50 Typical High $97.72 | Professional | None | $89.13 | $95.50 | $97.72 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 78 · Unplanned return to OR | $67.61 | $67.61 | $67.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $109.65 | Professional | None | $74.13 | $87.10 | $109.65 |
Select Health Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $53.70 | Facility | None | $51.29 | $51.29 | $53.70 |
Select Health Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $89.13 | Professional | None | $51.29 | $51.29 | $89.13 |
United Setting Professional Modifier None Typical Low $58.88 Median $89.13 Typical High $125.89 | Professional | None | $58.88 | $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 $100.00 Median $100.00 Typical High $100.00 | Professional | 22 · Increased work | $100.00 | $100.00 | $100.00 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 54 · Surgery only | $63.10 | $63.10 | $63.10 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 56 · Pre-op care only | $8.91 | $8.91 | $8.91 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 63 · Small infant | $100.00 | $100.00 | $100.00 |
Where Idaho sits
The same service costs 3.1 times more in Alaska than in New York. 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· 12th of 51
$89.13
AK $158NY $51.29
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.