How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,950 to $8,913Professionalmedian $5,012 · 10th to 90th $4,266 to $5,623
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 $4,897.79 Median $5,011.87 Typical High $5,011.87 | Professional | None | $4,897.79 | $5,011.87 | $5,011.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,454.71 Median $2,511.89 Typical High $2,511.89 | Professional | 52 · Reduced service | $2,454.71 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $977.24 Median $1,000.00 Typical High $1,000.00 | Professional | 53 · Discontinued | $977.24 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $724.44 Median $758.58 Typical High $758.58 | Professional | 55 · Aftercare only | $724.44 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $489.78 Median $501.19 Typical High $501.19 | Professional | 56 · Pre-op care only | $489.78 | $501.19 | $501.19 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,862.09 Median $3,548.13 Typical High $8,317.64 | Facility | None | $1,862.09 | $3,548.13 | $8,317.64 |
BCBS Idaho Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $5,495.41 Median $7,079.46 Typical High $13,489.63 | Facility | None | $5,495.41 | $7,079.46 | $13,489.63 |
Cigna Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Moda Health Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $7,244.36 | Facility | None | $5,011.87 | $5,011.87 | $7,244.36 |
Moda Health Setting Professional Modifier None Typical Low $4,897.79 Median $5,011.87 Typical High $5,011.87 | Professional | None | $4,897.79 | $5,011.87 | $5,011.87 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2,454.71 Median $2,511.89 Typical High $2,511.89 | Professional | 52 · Reduced service | $2,454.71 | $2,511.89 | $2,511.89 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $977.24 Median $1,000.00 Typical High $1,000.00 | Professional | 53 · Discontinued | $977.24 | $1,000.00 | $1,000.00 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $724.44 Median $758.58 Typical High $758.58 | Professional | 55 · Aftercare only | $724.44 | $758.58 | $758.58 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $489.78 Median $501.19 Typical High $501.19 | Professional | 56 · Pre-op care only | $489.78 | $501.19 | $501.19 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $3,801.89 Typical High $4,466.84 | Professional | None | $30.20 | $3,801.89 | $4,466.84 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $4,786.30 Median $5,370.32 Typical High $7,762.47 | Facility | None | $4,786.30 | $5,370.32 | $7,762.47 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $4,677.35 Median $5,370.32 Typical High $9,120.11 | Professional | None | $4,677.35 | $5,370.32 | $9,120.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,737.80 Median $3,235.94 Typical High $10,000.00 | Facility | None | $1,737.80 | $3,235.94 | $10,000.00 |
Select Health Setting Facility Modifier None Typical Low $5,888.44 Median $6,760.83 Typical High $9,549.93 | Facility | None | $5,888.44 | $6,760.83 | $9,549.93 |
Select Health Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | None | $4,265.80 | $4,265.80 | $4,265.80 |
United Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $5,128.61 | Professional | None | $4,897.79 | $4,897.79 | $5,128.61 |
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 $3,311.31 Median $3,467.37 Typical High $3,467.37 | Professional | 78 · Unplanned return to OR | $3,311.31 | $3,467.37 | $3,467.37 |
Where Idaho sits
The same service costs 1.8 times more in Alaska than in North Carolina. 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· 31st of 51
$5,012
AK $7,244NC $3,981
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.