How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,905 to $4,074Professionalmedian $3,548 · 10th to 90th $3,388 to $4,786
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 $3,467.37 Median $3,630.78 Typical High $3,801.89 | Professional | None | $3,467.37 | $3,630.78 | $3,801.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,737.80 Median $1,819.70 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,737.80 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $691.83 Median $724.44 Typical High $724.44 | Professional | 53 · Discontinued | $691.83 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $524.81 Median $537.03 Typical High $537.03 | Professional | 55 · Aftercare only | $524.81 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $346.74 Median $363.08 Typical High $363.08 | Professional | 56 · Pre-op care only | $346.74 | $363.08 | $363.08 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,905.46 Median $2,454.71 Typical High $3,235.94 | Facility | None | $1,905.46 | $2,454.71 | $3,235.94 |
BCBS Idaho Setting Professional Modifier None Typical Low $3,388.44 Median $3,548.13 Typical High $4,786.30 | Professional | None | $3,388.44 | $3,548.13 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $3,890.45 Median $4,073.80 Typical High $9,772.37 | Facility | None | $3,890.45 | $4,073.80 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Hally Health Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,388.44 | Professional | None | $3,162.28 | $3,162.28 | $3,388.44 |
Moda Health Setting Facility Modifier None Typical Low $3,548.13 Median $3,630.78 Typical High $5,128.61 | Facility | None | $3,548.13 | $3,630.78 | $5,128.61 |
Moda Health Setting Professional Modifier None Typical Low $3,467.37 Median $3,630.78 Typical High $3,801.89 | Professional | None | $3,467.37 | $3,630.78 | $3,801.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,737.80 Median $1,819.70 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,737.80 | $1,819.70 | $1,819.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $691.83 Median $724.44 Typical High $724.44 | Professional | 53 · Discontinued | $691.83 | $724.44 | $724.44 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $524.81 Median $537.03 Typical High $537.03 | Professional | 55 · Aftercare only | $524.81 | $537.03 | $537.03 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $346.74 Median $363.08 Typical High $363.08 | Professional | 56 · Pre-op care only | $346.74 | $363.08 | $363.08 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,819.70 Median $1,905.46 Typical High $3,235.94 | Facility | None | $1,819.70 | $1,905.46 | $3,235.94 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,981.07 Median $4,786.30 Typical High $5,011.87 | Professional | None | $3,981.07 | $4,786.30 | $5,011.87 |
Select Health Setting Facility Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $4,073.80 | Facility | None | $3,981.07 | $3,981.07 | $4,073.80 |
Select Health Setting Professional Modifier None Typical Low $3,388.44 Median $3,981.07 Typical High $6,165.95 | Professional | None | $3,388.44 | $3,981.07 | $6,165.95 |
United Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,897.79 | Professional | None | $3,467.37 | $3,467.37 | $4,897.79 |
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 $2,137.96 Median $2,511.89 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $2,137.96 | $2,511.89 | $2,511.89 |
Where Idaho sits
The same service costs 1.6 times more in North Carolina than in Nebraska. 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
$3,548
NC $5,370NE $3,388
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.