How much rates vary
Facilitymedian $2,089 · 10th to 90th $1,905 to $4,786Professionalmedian $1,905 · 10th to 90th $1,862 to $2,188
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 $1,862.09 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,862.09 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $933.25 Median $954.99 Typical High $954.99 | Professional | 52 · Reduced service | $933.25 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $371.54 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 55 · Aftercare only | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $190.55 Typical High $190.55 | Professional | 56 · Pre-op care only | $186.21 | $190.55 | $190.55 |
BCBS Idaho Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,235.94 | Facility | None | $3,090.30 | $3,090.30 | $3,235.94 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,089.30 Typical High $5,128.61 | Facility | None | $2,041.74 | $2,089.30 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Moda Health Setting Facility Modifier None Typical Low $1,862.09 Median $1,905.46 Typical High $2,691.53 | Facility | None | $1,862.09 | $1,905.46 | $2,691.53 |
Moda Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,862.09 | $1,905.46 | $1,905.46 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $933.25 Median $954.99 Typical High $954.99 | Professional | 52 · Reduced service | $933.25 | $954.99 | $954.99 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $371.54 | $380.19 | $380.19 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,412.54 | $1,412.54 | $1,412.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 55 · Aftercare only | $281.84 | $281.84 | $281.84 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $190.55 Typical High $190.55 | Professional | 56 · Pre-op care only | $186.21 | $190.55 | $190.55 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Select Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
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 $1,122.02 Median $1,230.27 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,230.27 | $1,318.26 |
Where Idaho sits
The same service costs 537.0 times more in Alaska than in Ohio. 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
$1,905
AK $2,951OH $5.50
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.