How much rates vary
Facilitymedian $209 · 10th to 90th $66 to $398Professionalmedian $126 · 10th to 90th $54 to $186
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 $53.70 Median $53.70 Typical High $64.57 | Professional | None | $53.70 | $53.70 | $64.57 |
BCBS Idaho Setting Facility Modifier None Typical Low $181.97 Median $257.04 Typical High $416.87 | Facility | None | $181.97 | $257.04 | $416.87 |
BCBS Idaho Setting Professional Modifier None Typical Low $147.91 Median $177.83 Typical High $186.21 | Professional | None | $147.91 | $177.83 | $186.21 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $144.54 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $117.49 | $144.54 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Moda Health Setting Facility Modifier None Typical Low $53.70 Median $58.88 Typical High $190.55 | Facility | None | $53.70 | $58.88 | $190.55 |
Moda Health Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $186.21 | Professional | None | $53.70 | $53.70 | $186.21 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $107.15 Median $120.23 Typical High $173.78 | Facility | None | $107.15 | $120.23 | $173.78 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $204.17 | Professional | None | $107.15 | $120.23 | $204.17 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 78 · Unplanned return to OR | $125.89 | $125.89 | $125.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $229.09 Median $331.13 Typical High $436.52 | Facility | None | $229.09 | $331.13 | $436.52 |
Regence BlueShield Setting Professional Modifier None Typical Low $114.82 Median $147.91 Typical High $165.96 | Professional | None | $114.82 | $147.91 | $165.96 |
Select Health Setting Facility Modifier None Typical Low $95.50 Median $97.72 Typical High $223.87 | Facility | None | $95.50 | $97.72 | $223.87 |
Select Health Setting Professional Modifier None Typical Low $91.20 Median $109.65 Typical High $173.78 | Professional | None | $91.20 | $109.65 | $173.78 |
United Setting Professional Modifier None Typical Low $61.66 Median $100.00 Typical High $190.55 | Professional | None | $61.66 | $100.00 | $190.55 |
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 $186.21 Median $186.21 Typical High $186.21 | Professional | 22 · Increased work | $186.21 | $186.21 | $186.21 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 54 · Surgery only | $117.49 | $117.49 | $117.49 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $16.98 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 63 · Small infant | $186.21 | $186.21 | $186.21 |
Where Idaho sits
The same service costs 3.2 times more in North Carolina 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· 16th of 51
$126
NC $240NY $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.