How much rates vary
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 $5.50 Median $5.50 Typical High $56.23 | Facility | None | $5.50 | $5.50 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $10.23 Typical High $57.54 | Professional | None | $4.68 | $10.23 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $5.89 Typical High $10.23 | Professional | 53 · Discontinued | $0.93 | $5.89 | $10.23 |
BCBS Idaho Setting Facility Modifier None Typical Low $38.90 Median $43.65 Typical High $338.84 | Facility | None | $38.90 | $43.65 | $338.84 |
BCBS Idaho Setting Professional Modifier None Typical Low $8.51 Median $10.72 Typical High $138.04 | Professional | None | $8.51 | $10.72 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Moda Health Setting Facility Modifier None Typical Low $4.68 Median $61.66 Typical High $4,168.69 | Facility | None | $4.68 | $61.66 | $4,168.69 |
Moda Health Setting Professional Modifier None Typical Low $4.68 Median $10.72 Typical High $109.65 | Professional | None | $4.68 | $10.72 | $109.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $1.91 Typical High $10.23 | Professional | 53 · Discontinued | $0.93 | $1.91 | $10.23 |
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 $5.25 Median $8.51 Typical High $104.71 | Facility | None | $5.25 | $8.51 | $104.71 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $5.25 Median $11.48 Typical High $97.72 | Professional | None | $5.25 | $11.48 | $97.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $7.24 Median $14.13 Typical High $97.72 | Professional | None | $7.24 | $14.13 | $97.72 |
Select Health Setting Facility Modifier None Typical Low $43.65 Median $61.66 Typical High $63.10 | Facility | None | $43.65 | $61.66 | $63.10 |
Select Health Setting Professional Modifier None Typical Low $6.46 Median $61.66 Typical High $61.66 | Professional | None | $6.46 | $61.66 | $61.66 |
United Setting Professional Modifier None Typical Low $6.03 Median $45.71 Typical High $93.33 | Professional | None | $6.03 | $45.71 | $93.33 |
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 |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $6.46 Median $7.59 Typical High $97.72 | Professional | 78 · Unplanned return to OR | $6.46 | $7.59 | $97.72 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $6.61 Median $6.61 Typical High $67.61 | Professional | 54 · Surgery only | $6.61 | $6.61 | $67.61 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $0.93 Median $0.93 Typical High $9.77 | Professional | 56 · Pre-op care only | $0.93 | $0.93 | $9.77 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $7.08 Median $7.08 Typical High $72.44 | Professional | 78 · Unplanned return to OR | $7.08 | $7.08 | $72.44 |
Where Idaho sits
The same service costs 22.7 times more in Georgia than in Mississippi. 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.
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.