How much rates vary
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 $134.90 Median $134.90 Typical High $181.97 | Professional | None | $134.90 | $134.90 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $102.33 Typical High $134.90 | Professional | 54 · Surgery only | $102.33 | $102.33 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $20.42 Typical High $27.54 | Professional | 55 · Aftercare only | $20.42 | $20.42 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $13.49 Typical High $18.20 | Professional | 56 · Pre-op care only | $13.49 | $13.49 | $18.20 |
BCBS Idaho Setting Facility Modifier None Typical Low $467.74 Median $524.81 Typical High $1,148.15 | Facility | None | $467.74 | $524.81 | $1,148.15 |
BCBS Idaho Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $331.13 | Professional | None | $281.84 | $331.13 | $331.13 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $218.78 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $194.98 | $218.78 | $229.09 |
Moda Health Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $194.98 | Facility | None | $134.90 | $134.90 | $194.98 |
Moda Health Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $181.97 | Professional | None | $134.90 | $134.90 | $181.97 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $102.33 Typical High $134.90 | Professional | 54 · Surgery only | $102.33 | $102.33 | $134.90 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $20.42 Typical High $27.54 | Professional | 55 · Aftercare only | $20.42 | $20.42 | $27.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $13.49 Typical High $18.20 | Professional | 56 · Pre-op care only | $13.49 | $13.49 | $18.20 |
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 $338.84 Median $389.05 Typical High $549.54 | Facility | None | $338.84 | $389.05 | $549.54 |
Where Idaho sits
The same service costs 16.2 times more in Minnesota 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· 22nd of 51
$195
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.