How much rates vary
Facilitymedian $912 · 10th to 90th $229 to $2,399Professionalmedian $204 · 10th to 90th $191 to $347
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 $190.55 Median $204.17 Typical High $229.09 | Professional | None | $190.55 | $204.17 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $151.36 Typical High $169.82 | Professional | 54 · Surgery only | $141.25 | $151.36 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $30.20 Typical High $34.67 | Professional | 55 · Aftercare only | $28.18 | $30.20 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $20.42 Typical High $22.91 | Professional | 56 · Pre-op care only | $19.05 | $20.42 | $22.91 |
BCBS Idaho Setting Facility Modifier None Typical Low $398.11 Median $912.01 Typical High $2,398.83 | Facility | None | $398.11 | $912.01 | $2,398.83 |
BCBS Idaho Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $346.74 | Professional | None | $295.12 | $346.74 | $346.74 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $229.09 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $204.17 | $229.09 | $239.88 |
Moda Health Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $288.40 | Facility | None | $204.17 | $204.17 | $288.40 |
Moda Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $229.09 | Professional | None | $204.17 | $204.17 | $229.09 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $151.36 Typical High $169.82 | Professional | 54 · Surgery only | $151.36 | $151.36 | $169.82 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $30.20 Typical High $34.67 | Professional | 55 · Aftercare only | $30.20 | $30.20 | $34.67 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.42 Typical High $22.91 | Professional | 56 · Pre-op care only | $20.42 | $20.42 | $22.91 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Select Health Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $467.74 | Facility | None | $281.84 | $331.13 | $467.74 |
Where Idaho sits
The same service costs 17.8 times more in Texas than in New Jersey. 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
$282
TX $1,349NJ $75.86
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.