How much rates vary
Facilitymedian $630,957 · 10th to 90th $512,861 to $812,831Professionalmedian $562,341 · 10th to 90th $512,861 to $630,957
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 $512,861.38 Median $630,957.34 Typical High $630,957.34 | Professional | None | $512,861.38 | $630,957.34 | $630,957.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257,039.58 Median $316,227.77 Typical High $316,227.77 | Professional | 52 · Reduced service | $257,039.58 | $316,227.77 | $316,227.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102,329.30 Median $128,824.96 Typical High $128,824.96 | Professional | 53 · Discontinued | $102,329.30 | $128,824.96 | $128,824.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75,857.76 Median $95,499.26 Typical High $95,499.26 | Professional | 55 · Aftercare only | $75,857.76 | $95,499.26 | $95,499.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51,286.14 Median $63,095.73 Typical High $63,095.73 | Professional | 56 · Pre-op care only | $51,286.14 | $63,095.73 | $63,095.73 |
BCBS Idaho Setting Facility Modifier None Typical Low $812,830.52 Median $812,830.52 Typical High $812,830.52 | Facility | None | $812,830.52 | $812,830.52 | $812,830.52 |
BCBS Idaho Setting Professional Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $562,341.33 | Professional | None | $512,861.38 | $512,861.38 | $562,341.33 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363,078.05 Median $371,535.23 Typical High $398,107.17 | Professional | 78 · Unplanned return to OR | $363,078.05 | $371,535.23 | $398,107.17 |
Moda Health Setting Facility Modifier None Typical Low $512,861.38 Median $630,957.34 Typical High $630,957.34 | Facility | None | $512,861.38 | $630,957.34 | $630,957.34 |
Moda Health Setting Professional Modifier None Typical Low $512,861.38 Median $616,595.00 Typical High $630,957.34 | Professional | None | $512,861.38 | $616,595.00 | $630,957.34 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $269,153.48 Median $309,029.54 Typical High $309,029.54 | Professional | 52 · Reduced service | $269,153.48 | $309,029.54 | $309,029.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $107,151.93 Median $123,026.88 Typical High $123,026.88 | Professional | 53 · Discontinued | $107,151.93 | $123,026.88 | $123,026.88 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $79,432.82 Median $91,201.08 Typical High $91,201.08 | Professional | 55 · Aftercare only | $79,432.82 | $91,201.08 | $91,201.08 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $53,703.18 Median $61,659.50 Typical High $61,659.50 | Professional | 56 · Pre-op care only | $53,703.18 | $61,659.50 | $61,659.50 |
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 $512,861.38 Median $630,957.34 Typical High $630,957.34 | Facility | None | $512,861.38 | $630,957.34 | $630,957.34 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $562,341.33 Median $630,957.34 Typical High $630,957.34 | Professional | None | $562,341.33 | $630,957.34 | $630,957.34 |
Select Health Setting Facility Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $1,071,519.31 | Facility | None | $512,861.38 | $512,861.38 | $1,071,519.31 |
Select Health Setting Professional Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $724,435.96 | Professional | None | $512,861.38 | $512,861.38 | $724,435.96 |
United Setting Professional Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $616,595.00 | Professional | None | $512,861.38 | $512,861.38 | $616,595.00 |
Where Idaho sits
The same service costs 2.0 times more in Texas than in New Jersey. 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· 7th of 51
$616,595
TX $1,000,000NJ $489,779
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.