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 $1,819.70 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,819.70 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $912.01 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $912.01 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $363.08 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $281.84 Typical High $281.84 | Professional | 55 · Aftercare only | $275.42 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $181.97 | $186.21 | $186.21 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,737.80 Median $1,949.84 Typical High $2,041.74 | Professional | None | $1,737.80 | $1,949.84 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,570.40 | Professional | None | $2,041.74 | $2,041.74 | $2,570.40 |
Moda Health Setting Facility Modifier None Typical Low $1,819.70 Median $1,862.09 Typical High $2,691.53 | Facility | None | $1,819.70 | $1,862.09 | $2,691.53 |
Moda Health Setting Professional Modifier None Typical Low $1,819.70 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,819.70 | $1,862.09 | $1,862.09 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $912.01 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $912.01 | $933.25 | $933.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $363.08 | $371.54 | $371.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $281.84 Typical High $281.84 | Professional | 55 · Aftercare only | $275.42 | $281.84 | $281.84 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $181.97 | $186.21 | $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 |
Select Health Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,089.30 | Facility | None | $2,041.74 | $2,041.74 | $2,089.30 |
Select Health Setting Professional Modifier None Typical Low $1,698.24 Median $2,041.74 Typical High $4,073.80 | Professional | None | $1,698.24 | $2,041.74 | $4,073.80 |
1 more rate 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 $1,230.27 Median $1,348.96 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,348.96 | $1,445.44 |
Where Idaho sits
The same service costs 42.7 times more in Hawaii 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· 20th of 51
$1,862
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.