How much rates vary
Facilitymedian $74 · 10th to 90th $63 to $117Professionalmedian $63 · 10th to 90th $33 to $2,692
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 $58.88 Median $63.10 Typical High $63.10 | Professional | None | $58.88 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $29.51 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $11.75 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $9.33 Typical High $9.33 | Professional | 55 · Aftercare only | $8.91 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $6.31 Typical High $6.31 | Professional | 56 · Pre-op care only | $5.89 | $6.31 | $6.31 |
BCBS Idaho Setting Facility Modifier None Typical Low $60.26 Median $70.79 Typical High $117.49 | Facility | None | $60.26 | $70.79 | $117.49 |
BCBS Idaho Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Moda Health Setting Facility Modifier None Typical Low $58.88 Median $63.10 Typical High $89.13 | Facility | None | $58.88 | $63.10 | $89.13 |
Moda Health Setting Professional Modifier None Typical Low $58.88 Median $63.10 Typical High $77.62 | Professional | None | $58.88 | $63.10 | $77.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $29.51 | $31.62 | $31.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $11.75 | $12.59 | $12.59 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $9.55 Typical High $9.55 | Professional | 55 · Aftercare only | $8.91 | $9.55 | $9.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $6.31 Typical High $6.31 | Professional | 56 · Pre-op care only | $5.89 | $6.31 | $6.31 |
Molina Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $10.96 | Professional | None | $9.33 | $9.33 | $10.96 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $4,365.16 | Facility | None | $91.20 | $91.20 | $4,365.16 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $18.20 Median $91.20 Typical High $5,128.61 | Professional | None | $18.20 | $91.20 | $5,128.61 |
Regence BlueShield Setting Facility Modifier None Typical Low $69.18 Median $70.79 Typical High $104.71 | Facility | None | $69.18 | $70.79 | $104.71 |
Select Health Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $93.33 | Facility | None | $74.13 | $74.13 | $93.33 |
Select Health Setting Professional Modifier None Typical Low $72.44 Median $74.13 Typical High $144.54 | Professional | None | $72.44 | $74.13 | $144.54 |
United Setting Professional Modifier None Typical Low $12.88 Median $33.11 Typical High $36.31 | Professional | None | $12.88 | $33.11 | $36.31 |
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 $53.70 Median $53.70 Typical High $56.23 | Professional | 78 · Unplanned return to OR | $53.70 | $53.70 | $56.23 |
Where Idaho sits
The same service costs 2.9 times more in Hawaii than in Indiana. 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· 13th of 51
$63.10
HI $102IN $35.48
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.