How much rates vary
Facilitymedian $813 · 10th to 90th $550 to $2,818Professionalmedian $955 · 10th to 90th $646 to $1,413
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 Facility Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $5,495.41 | Facility | None | $4,466.84 | $4,466.84 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $645.65 Typical High $645.65 | Professional | None | $549.54 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $446.68 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $389.05 | $446.68 | $457.09 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,398.83 Median $2,691.53 Typical High $2,951.21 | Facility | None | $2,398.83 | $2,691.53 | $2,951.21 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $1,479.11 | Professional | None | $1,122.02 | $1,258.93 | $1,479.11 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $977.24 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $870.96 | $977.24 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $1,380.38 Typical High $12,589.25 | Facility | None | $151.36 | $1,380.38 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Moda Health Setting Facility Modifier None Typical Low $549.54 Median $645.65 Typical High $5,495.41 | Facility | None | $549.54 | $645.65 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $549.54 Median $645.65 Typical High $1,258.93 | Professional | None | $549.54 | $645.65 | $1,258.93 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $446.68 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $389.05 | $446.68 | $446.68 |
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 $707.95 Median $812.83 Typical High $1,148.15 | Facility | None | $707.95 | $812.83 | $1,148.15 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $707.95 Median $812.83 Typical High $1,348.96 | Professional | None | $707.95 | $812.83 | $1,348.96 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $954.99 | $954.99 | $954.99 |
Regence BlueShield Setting Professional Modifier None Typical Low $954.99 Median $1,122.02 Typical High $1,230.27 | Professional | None | $954.99 | $1,122.02 | $1,230.27 |
Select Health Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $691.83 | Facility | None | $645.65 | $645.65 | $691.83 |
Select Health Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,318.26 | Professional | None | $645.65 | $645.65 | $1,318.26 |
United Setting Facility Modifier None Typical Low $436.52 Median $676.08 Typical High $870.96 | Facility | None | $436.52 | $676.08 | $870.96 |
United Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $1,412.54 | Professional | None | $707.95 | $933.25 | $1,412.54 |
11 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $478.63 Typical High $489.78 | Professional | 54 · Surgery only | $416.87 | $478.63 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $83.18 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $54.95 | $64.57 | $64.57 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $478.63 Typical High $478.63 | Professional | 54 · Surgery only | $416.87 | $478.63 | $478.63 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $83.18 | $97.72 | $97.72 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $54.95 | $64.57 | $64.57 |
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | 22 · Increased work | $1,380.38 | $1,380.38 | $1,380.38 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $891.25 | $891.25 | $891.25 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
MountainHealth Co-op Setting Professional Modifier 62 · Two surgeons Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 62 · Two surgeons | $794.33 | $794.33 | $794.33 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | 63 · Small infant | $1,380.38 | $1,380.38 | $1,380.38 |
Where Idaho sits
The same service costs 3.8 times more in Alaska than in Texas. 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
$955
AK $1,862TX $490
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.