How much rates vary
Facilitymedian $174 · 10th to 90th $148 to $282Professionalmedian $155 · 10th to 90th $81 to $6,607
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 $144.54 Median $154.88 Typical High $154.88 | Professional | None | $144.54 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $72.44 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $28.84 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $21.38 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $15.49 Typical High $15.49 | Professional | 56 · Pre-op care only | $14.45 | $15.49 | $15.49 |
BCBS Idaho Setting Facility Modifier None Typical Low $131.83 Median $173.78 Typical High $281.84 | Facility | None | $131.83 | $173.78 | $281.84 |
BCBS Idaho Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Moda Health Setting Facility Modifier None Typical Low $144.54 Median $154.88 Typical High $218.78 | Facility | None | $144.54 | $154.88 | $218.78 |
Moda Health Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $190.55 | Professional | None | $144.54 | $154.88 | $190.55 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $72.44 | $77.62 | $77.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $28.84 | $30.90 | $30.90 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $21.38 | $22.91 | $22.91 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $15.49 Typical High $15.49 | Professional | 56 · Pre-op care only | $14.45 | $15.49 | $15.49 |
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 $223.87 Median $223.87 Typical High $10,715.19 | Facility | None | $223.87 | $223.87 | $10,715.19 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $45.71 Median $223.87 Typical High $12,589.25 | Professional | None | $45.71 | $223.87 | $12,589.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $165.96 Median $173.78 Typical High $257.04 | Facility | None | $165.96 | $173.78 | $257.04 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $229.09 | Facility | None | $177.83 | $177.83 | $229.09 |
Select Health Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $354.81 | Professional | None | $177.83 | $177.83 | $354.81 |
United Setting Professional Modifier None Typical Low $15.14 Median $81.28 Typical High $87.10 | Professional | None | $15.14 | $81.28 | $87.10 |
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 $131.83 Median $131.83 Typical High $138.04 | Professional | 78 · Unplanned return to OR | $131.83 | $131.83 | $138.04 |
Where Idaho sits
The same service costs 5.0 times more in Hawaii than in Florida. 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
$155
HI $437FL $87.10
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.