How much rates vary
Facilitymedian $363 · 10th to 90th $251 to $617Professionalmedian $263 · 10th to 90th $245 to $347
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 $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $39.81 Typical High $39.81 | Professional | 55 · Aftercare only | $38.90 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $26.30 |
BCBS Idaho Setting Facility Modifier None Typical Low $251.19 Median $380.19 Typical High $616.60 | Facility | None | $251.19 | $380.19 | $616.60 |
BCBS Idaho Setting Professional Modifier None Typical Low $245.47 Median $263.03 Typical High $346.74 | Professional | None | $245.47 | $263.03 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $380.19 Typical High $724.44 | Facility | None | $295.12 | $380.19 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Moda Health Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $380.19 | Facility | None | $263.03 | $263.03 | $380.19 |
Moda Health Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $39.81 Typical High $39.81 | Professional | 55 · Aftercare only | $38.90 | $39.81 | $39.81 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $26.30 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $199.53 Typical High $234.42 | Professional | None | $30.20 | $199.53 | $234.42 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Regence BlueShield Setting Facility Modifier None Typical Low $251.19 Median $363.08 Typical High $616.60 | Facility | None | $251.19 | $363.08 | $616.60 |
Regence BlueShield Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $363.08 | Professional | None | $346.74 | $346.74 | $363.08 |
Select Health Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $295.12 | Facility | None | $288.40 | $288.40 | $295.12 |
Select Health Setting Professional Modifier None Typical Low $288.40 Median $346.74 Typical High $457.09 | Professional | None | $288.40 | $346.74 | $457.09 |
United Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
1 more rate 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 $154.88 Median $173.78 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $154.88 | $173.78 | $181.97 |
Where Idaho sits
The same service costs 1.7 times more in Alaska than in Indiana. 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· 23rd of 51
$263
AK $417IN $245
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.