How much rates vary
Facilitymedian $1,096 · 10th to 90th $123 to $1,950Professionalmedian $209 · 10th to 90th $155 to $251
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 $181.97 Typical High $181.97 | Professional | None | $123.03 | $181.97 | $181.97 |
BCBS Idaho Setting Facility Modifier None Typical Low $269.15 Median $1,230.27 Typical High $2,041.74 | Facility | None | $269.15 | $1,230.27 | $2,041.74 |
BCBS Idaho Setting Professional Modifier None Typical Low $208.93 Median $213.80 Typical High $251.19 | Professional | None | $208.93 | $213.80 | $251.19 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $162.18 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $144.54 | $162.18 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $204.17 Typical High $234.42 | Professional | None | $165.96 | $204.17 | $234.42 |
Moda Health Setting Facility Modifier None Typical Low $158.49 Median $181.97 Typical High $263.03 | Facility | None | $158.49 | $181.97 | $263.03 |
Moda Health Setting Professional Modifier None Typical Low $138.04 Median $181.97 Typical High $251.19 | Professional | None | $138.04 | $181.97 | $251.19 |
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 $204.17 Median $223.87 Typical High $223.87 | Facility | None | $204.17 | $223.87 | $223.87 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $229.09 | Professional | None | $213.80 | $223.87 | $229.09 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $162.18 | $162.18 | $162.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $2,137.96 | Facility | None | $1,096.48 | $1,548.82 | $2,137.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $194.98 Median $208.93 Typical High $251.19 | Professional | None | $194.98 | $208.93 | $251.19 |
Select Health Setting Facility Modifier None Typical Low $117.49 Median $120.23 Typical High $645.65 | Facility | None | $117.49 | $120.23 | $645.65 |
Select Health Setting Professional Modifier None Typical Low $117.49 Median $151.36 Typical High $275.42 | Professional | None | $117.49 | $151.36 | $275.42 |
United Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $257.04 | Professional | None | $151.36 | $194.98 | $257.04 |
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 $234.42 Median $234.42 Typical High $234.42 | Professional | 22 · Increased work | $234.42 | $234.42 | $234.42 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 54 · Surgery only | $151.36 | $151.36 | $151.36 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $21.38 | $21.38 | $21.38 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 63 · Small infant | $234.42 | $234.42 | $234.42 |
Where Idaho sits
The same service costs 2.9 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
$209
AK $347NY $120
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.