How much rates vary
Facilitymedian $158 · 10th to 90th $115 to $234Professionalmedian $126 · 10th to 90th $85 to $209
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 $85.11 Median $87.10 Typical High $87.10 | Professional | None | $85.11 | $87.10 | $87.10 |
BCBS Idaho Setting Facility Modifier None Typical Low $104.71 Median $169.82 Typical High $251.19 | Facility | None | $104.71 | $169.82 | $251.19 |
BCBS Idaho Setting Professional Modifier None Typical Low $85.11 Median $107.15 Typical High $151.36 | Professional | None | $85.11 | $107.15 | $151.36 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $74.13 Median $177.83 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $74.13 | $177.83 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $158.49 Typical High $213.80 | Facility | None | $144.54 | $158.49 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Moda Health Setting Facility Modifier None Typical Low $85.11 Median $87.10 Typical High $123.03 | Facility | None | $85.11 | $87.10 | $123.03 |
Moda Health Setting Professional Modifier None Typical Low $85.11 Median $87.10 Typical High $223.87 | Professional | None | $85.11 | $87.10 | $223.87 |
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 $128.82 Median $147.91 Typical High $208.93 | Facility | None | $128.82 | $147.91 | $208.93 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $107.15 Median $147.91 Typical High $245.47 | Professional | None | $107.15 | $147.91 | $245.47 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 78 · Unplanned return to OR | $79.43 | $79.43 | $79.43 |
Regence BlueShield Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $204.17 | Professional | None | $151.36 | $151.36 | $204.17 |
Select Health Setting Facility Modifier None Typical Low $117.49 Median $120.23 Typical High $251.19 | Facility | None | $117.49 | $120.23 | $251.19 |
Select Health Setting Professional Modifier None Typical Low $125.89 Median $154.88 Typical High $213.80 | Professional | None | $125.89 | $154.88 | $213.80 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
4 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 |
|---|---|---|---|---|---|
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 22 · Increased work | $117.49 | $117.49 | $117.49 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 54 · Surgery only | $74.13 | $74.13 | $74.13 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $10.72 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 63 · Small infant | $117.49 | $117.49 | $117.49 |
Where Idaho sits
The same service costs 1.8 times more in North Dakota than in Virginia. 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
$126
ND $151VA $85.11
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.