How much rates vary
Facilitymedian $1,995 · 10th to 90th $1,738 to $3,311Professionalmedian $1,820 · 10th to 90th $759 to $2,630
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 $1,348.96 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,348.96 | $1,819.70 | $1,819.70 |
BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $1,995.26 Typical High $3,311.31 | Facility | None | $1,513.56 | $1,995.26 | $3,311.31 |
BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $2,187.76 Typical High $2,290.87 | Professional | None | $1,479.11 | $2,187.76 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Moda Health Setting Facility Modifier None Typical Low $1,698.24 Median $1,819.70 Typical High $2,570.40 | Facility | None | $1,698.24 | $1,819.70 | $2,570.40 |
Moda Health Setting Professional Modifier None Typical Low $1,698.24 Median $1,819.70 Typical High $2,187.76 | Professional | None | $1,698.24 | $1,819.70 | $2,187.76 |
Molina Setting Professional Modifier None Typical Low $1,202.26 Median $1,258.93 Typical High $1,479.11 | Professional | None | $1,202.26 | $1,258.93 | $1,479.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $125,892.54 | Facility | None | $2,630.27 | $2,630.27 | $125,892.54 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $524.81 Median $2,630.27 Typical High $147,910.84 | Professional | None | $524.81 | $2,630.27 | $147,910.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,949.84 Median $1,995.26 Typical High $3,019.95 | Facility | None | $1,949.84 | $1,995.26 | $3,019.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,187.76 | Professional | None | $1,479.11 | $1,479.11 | $2,187.76 |
Select Health Setting Facility Modifier None Typical Low $2,041.74 Median $2,089.30 Typical High $2,691.53 | Facility | None | $2,041.74 | $2,089.30 | $2,691.53 |
Select Health Setting Professional Modifier None Typical Low $1,995.26 Median $2,089.30 Typical High $4,168.69 | Professional | None | $1,995.26 | $2,089.30 | $4,168.69 |
United Setting Professional Modifier None Typical Low $602.56 Median $741.31 Typical High $776.25 | Professional | None | $602.56 | $741.31 | $776.25 |
9 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $676.08 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $676.08 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $269.15 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $199.53 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $181.97 Typical High $181.97 | Professional | 56 · Pre-op care only | $134.90 | $181.97 | $181.97 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,548.82 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,548.82 | $1,621.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $741.31 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $741.31 | $912.01 | $912.01 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $295.12 | $363.08 | $363.08 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $223.87 | $269.15 | $269.15 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $181.97 Typical High $181.97 | Professional | 56 · Pre-op care only | $147.91 | $181.97 | $181.97 |
Where Idaho sits
The same service costs 2.7 times more in Hawaii than in New Jersey. 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· 5th of 51
$1,820
HI $2,042NJ $759
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.