How much rates vary
Facilitymedian $129 · 10th to 90th $83 to $195Professionalmedian $117 · 10th to 90th $89 to $158
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 $120.23 Median $120.23 Typical High $147.91 | Facility | None | $120.23 | $120.23 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $100.00 Typical High $120.23 | Professional | None | $83.18 | $100.00 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $50.12 Typical High $60.26 | Professional | 52 · Reduced service | $46.77 | $50.12 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $15.14 Typical High $18.20 | Professional | 55 · Aftercare only | $14.13 | $15.14 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $10.00 Typical High $12.02 | Professional | 56 · Pre-op care only | $9.33 | $10.00 | $12.02 |
BCBS Idaho Setting Facility Modifier None Typical Low $30.20 Median $138.04 Typical High $338.84 | Facility | None | $30.20 | $138.04 | $338.84 |
BCBS Idaho Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $173.78 | Professional | None | $104.71 | $128.82 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $112.20 Typical High $141.25 | Professional | None | $85.11 | $112.20 | $141.25 |
Moda Health Setting Facility Modifier None Typical Low $85.11 Median $112.20 Typical High $141.25 | Facility | None | $85.11 | $112.20 | $141.25 |
Moda Health Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $154.88 | Professional | None | $95.50 | $120.23 | $154.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $50.12 Typical High $60.26 | Professional | 52 · Reduced service | $46.77 | $50.12 | $60.26 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $15.14 Typical High $18.20 | Professional | 55 · Aftercare only | $14.13 | $15.14 | $18.20 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $10.00 Typical High $12.02 | Professional | 56 · Pre-op care only | $9.55 | $10.00 | $12.02 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $158.49 | Facility | None | $112.20 | $112.20 | $158.49 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $112.20 Median $114.82 Typical High $162.18 | Professional | None | $112.20 | $114.82 | $162.18 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $12.88 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $12.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $128.82 Median $138.04 Typical High $204.17 | Facility | None | $128.82 | $138.04 | $204.17 |
Regence BlueShield Setting Professional Modifier None Typical Low $97.72 Median $128.82 Typical High $154.88 | Professional | None | $97.72 | $128.82 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $85.11 | Facility | None | $83.18 | $83.18 | $85.11 |
Select Health Setting Professional Modifier None Typical Low $72.44 Median $83.18 Typical High $131.83 | Professional | None | $72.44 | $83.18 | $131.83 |
United Setting Professional Modifier None Typical Low $79.43 Median $102.33 Typical High $141.25 | Professional | None | $79.43 | $102.33 | $141.25 |
3 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 $83.18 Median $89.13 Typical High $114.82 | Professional | 78 · Unplanned return to OR | $83.18 | $89.13 | $114.82 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $75.86 Typical High $91.20 | Professional | 54 · Surgery only | $75.86 | $75.86 | $91.20 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $81.28 Median $81.28 Typical High $97.72 | Professional | 78 · Unplanned return to OR | $81.28 | $81.28 | $97.72 |
Where Idaho sits
The same service costs 2.9 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· 9th of 51
$117
AK $186FL $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.