How much rates vary
Facilitymedian $1,660 · 10th to 90th $1,072 to $2,818Professionalmedian $1,413 · 10th to 90th $741 to $2,138
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 $1,096.48 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,096.48 | $1,412.54 | $1,412.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,348.96 Median $1,659.59 Typical High $2,818.38 | Facility | None | $1,348.96 | $1,659.59 | $2,818.38 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,202.26 Median $1,819.70 Typical High $1,905.46 | Professional | None | $1,202.26 | $1,819.70 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,288.25 | Facility | None | $1,230.27 | $1,230.27 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None | $891.25 | $891.25 | $1,230.27 |
Moda Health Setting Facility Modifier None Typical Low $478.63 Median $1,412.54 Typical High $1,737.80 | Facility | None | $478.63 | $1,412.54 | $1,737.80 |
Moda Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $1,819.70 | Professional | None | $1,096.48 | $1,548.82 | $1,819.70 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $1,230.27 Typical High $1,479.11 | Professional | None | $30.20 | $1,230.27 | $1,479.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,318.26 Median $2,137.96 Typical High $104,712.85 | Facility | None | $1,318.26 | $2,137.96 | $104,712.85 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,737.80 Median $2,137.96 Typical High $120,226.44 | Professional | None | $1,737.80 | $2,137.96 | $120,226.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,621.81 Median $1,659.59 Typical High $2,454.71 | Facility | None | $1,621.81 | $1,659.59 | $2,454.71 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,819.70 | Professional | None | $1,202.26 | $1,202.26 | $1,819.70 |
Select Health Setting Facility Modifier None Typical Low $1,659.59 Median $1,737.80 Typical High $2,238.72 | Facility | None | $1,659.59 | $1,737.80 | $2,238.72 |
Select Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,737.80 Typical High $1,905.46 | Professional | None | $1,122.02 | $1,737.80 | $1,905.46 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
United Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $1,148.15 | Professional | None | $691.83 | $741.31 | $1,148.15 |
9 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 52 · Reduced service Typical Low $549.54 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $549.54 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $218.78 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $165.96 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $109.65 | $141.25 | $141.25 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,258.93 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,258.93 | $1,318.26 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $549.54 | $707.95 | $707.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $218.78 | $281.84 | $281.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $165.96 | $213.80 | $213.80 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $109.65 | $141.25 | $141.25 |
Where Idaho sits
The same service costs 2.1 times more in Wisconsin than in Florida. 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· 11th of 51
$1,479
WI $1,820FL $871
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.