How much rates vary
Facilitymedian $17 · 10th to 90th $13 to $74Professionalmedian $17 · 10th to 90th $13 to $31
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 $12.59 Median $12.59 Typical High $16.98 | Professional | None | $12.59 | $12.59 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.31 Median $6.31 Typical High $8.51 | Professional | 52 · Reduced service | $6.31 | $6.31 | $8.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.91 Median $1.91 Typical High $2.51 | Professional | 55 · Aftercare only | $1.91 | $1.91 | $2.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.26 Median $1.26 Typical High $1.70 | Professional | 56 · Pre-op care only | $1.26 | $1.26 | $1.70 |
BCBS Idaho Setting Facility Modifier None Typical Low $66.07 Median $74.13 Typical High $74.13 | Facility | None | $66.07 | $74.13 | $74.13 |
BCBS Idaho Setting Professional Modifier None Typical Low $26.30 Median $29.51 Typical High $30.90 | Professional | None | $26.30 | $29.51 | $30.90 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $18.62 Median $20.42 Typical High $21.88 | Professional | 78 · Unplanned return to OR | $18.62 | $20.42 | $21.88 |
Moda Health Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $25.70 | Facility | None | $12.59 | $12.59 | $25.70 |
Moda Health Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $16.98 | Professional | None | $12.59 | $12.59 | $16.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.31 Median $6.31 Typical High $8.51 | Professional | 52 · Reduced service | $6.31 | $6.31 | $8.51 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $1.91 Median $1.91 Typical High $2.51 | Professional | 55 · Aftercare only | $1.91 | $1.91 | $2.51 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1.26 Median $1.26 Typical High $1.70 | Professional | 56 · Pre-op care only | $1.26 | $1.26 | $1.70 |
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 $53.70 Median $61.66 Typical High $87.10 | Facility | None | $53.70 | $61.66 | $87.10 |
Select Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $8,511.38 | Professional | None | $38.02 | $38.02 | $8,511.38 |
Where Idaho sits
The same service costs 14.5 times more in Texas than in West Virginia. 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· 36th of 51
$16.98
TX $120WV $8.32
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.