How much rates vary
Facilitymedian $1,349 · 10th to 90th $550 to $4,786Professionalmedian $1,072 · 10th to 90th $832 to $1,349
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 Facility Modifier None Typical Low $1,621.81 Median $4,466.84 Typical High $7,244.36 | Facility | None | $1,621.81 | $4,466.84 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $954.99 Typical High $1,071.52 | Professional | None | $912.01 | $954.99 | $1,071.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $676.08 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $645.65 | $676.08 | $741.31 |
BCBS Idaho Setting Facility Modifier None Typical Low $416.87 Median $1,380.38 Typical High $4,786.30 | Facility | None | $416.87 | $1,380.38 | $4,786.30 |
BCBS Idaho Setting Professional Modifier None Typical Low $977.24 Median $1,174.90 Typical High $1,584.89 | Professional | None | $977.24 | $1,174.90 | $1,584.89 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $891.25 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $812.83 | $891.25 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,380.38 Typical High $1,905.46 | Facility | None | $1,230.27 | $1,380.38 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $977.24 Typical High $1,096.48 | Professional | None | $776.25 | $977.24 | $1,096.48 |
Moda Health Setting Facility Modifier None Typical Low $691.83 Median $1,071.52 Typical High $5,495.41 | Facility | None | $691.83 | $1,071.52 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $954.99 Median $1,071.52 Typical High $1,318.26 | Professional | None | $954.99 | $1,071.52 | $1,318.26 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $741.31 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $954.99 Median $1,000.00 Typical High $1,230.27 | Facility | None | $954.99 | $1,000.00 | $1,230.27 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $1,445.44 | Professional | None | $1,000.00 | $1,174.90 | $1,445.44 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $870.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,311.31 Median $4,677.35 Typical High $6,025.60 | Facility | None | $3,311.31 | $4,677.35 | $6,025.60 |
Regence BlueShield Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,318.26 | Professional | None | $977.24 | $1,096.48 | $1,318.26 |
Select Health Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $851.14 | Facility | None | $691.83 | $691.83 | $851.14 |
Select Health Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $870.96 | Professional | None | $691.83 | $691.83 | $870.96 |
United Setting Facility Modifier None Typical Low $549.54 Median $676.08 Typical High $954.99 | Facility | None | $549.54 | $676.08 | $954.99 |
United Setting Professional Modifier None Typical Low $676.08 Median $891.25 Typical High $1,230.27 | Professional | None | $676.08 | $891.25 | $1,230.27 |
5 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 |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,122.02 Typical High $1,202.26 | Professional | 54 · Surgery only | $954.99 | $1,122.02 | $1,202.26 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $120.23 Typical High $162.18 | Professional | 55 · Aftercare only | $104.71 | $120.23 | $162.18 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,258.93 Median $1,445.44 Typical High $1,862.09 | Professional | 63 · Small infant | $1,258.93 | $1,445.44 | $1,862.09 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $741.31 Typical High $812.83 | Professional | 54 · Surgery only | $741.31 | $741.31 | $812.83 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $117.49 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $117.49 |
Where Idaho sits
The same service costs 4.0 times more in Alaska than in Delaware. 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.
Physician feeFacility fee
AK $5,661DE $1,425
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.