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 $30.20 Median $30.20 Typical High $34.67 | Professional | None | $30.20 | $30.20 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $15.14 Typical High $17.38 | Professional | 52 · Reduced service | $15.14 | $15.14 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.92 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.47 Typical High $5.25 | Professional | 55 · Aftercare only | $4.47 | $4.47 | $5.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.02 Typical High $3.47 | Professional | 56 · Pre-op care only | $3.02 | $3.02 | $3.47 |
BCBS Idaho Setting Professional Modifier None Typical Low $29.51 Median $33.11 Typical High $34.67 | Professional | None | $29.51 | $33.11 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Moda Health Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $42.66 | Facility | None | $30.20 | $30.20 | $42.66 |
Moda Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $34.67 | Professional | None | $30.20 | $30.20 | $34.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $15.14 Typical High $17.38 | Professional | 52 · Reduced service | $15.14 | $15.14 | $17.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.92 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.92 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.47 Typical High $5.25 | Professional | 55 · Aftercare only | $4.47 | $4.47 | $5.25 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.02 Typical High $3.47 | Professional | 56 · Pre-op care only | $3.02 | $3.02 | $3.47 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $1,513.56 Typical High $1,513.56 | Professional | None | $30.20 | $1,513.56 | $1,513.56 |
Select Health Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $35.48 | Facility | None | $34.67 | $34.67 | $35.48 |
Select Health Setting Professional Modifier None Typical Low $28.18 Median $34.67 Typical High $66.07 | Professional | None | $28.18 | $34.67 | $66.07 |
United Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
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 $20.89 Median $22.91 Typical High $24.55 | Professional | 78 · Unplanned return to OR | $20.89 | $22.91 | $24.55 |
Where Idaho sits
The same service costs 3.1 times more in Montana 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.
Idaho· 39th of 51
$30.20
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.