How much rates vary
Facilitymedian $2,344 · 10th to 90th $776 to $8,128Professionalmedian $1,202 · 10th to 90th $912 to $1,514
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 $1,047.13 Median $1,096.48 Typical High $1,202.26 | Professional | None | $1,047.13 | $1,096.48 | $1,202.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $776.25 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $724.44 | $776.25 | $851.14 |
BCBS Idaho Setting Facility Modifier None Typical Low $416.87 Median $2,754.23 Typical High $9,332.54 | Facility | None | $416.87 | $2,754.23 | $9,332.54 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $1,778.28 | Professional | None | $1,122.02 | $1,318.26 | $1,778.28 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $912.01 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $812.83 | $912.01 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,398.83 Typical High $3,235.94 | Facility | None | $2,137.96 | $2,398.83 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,096.48 Typical High $1,258.93 | Professional | None | $891.25 | $1,096.48 | $1,258.93 |
Moda Health Setting Facility Modifier None Typical Low $776.25 Median $1,202.26 Typical High $5,495.41 | Facility | None | $776.25 | $1,202.26 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,513.56 | Professional | None | $1,096.48 | $1,202.26 | $1,513.56 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $851.14 |
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 $1,023.29 Median $1,096.48 Typical High $1,412.54 | Facility | None | $1,023.29 | $1,096.48 | $1,412.54 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,096.48 Median $1,258.93 Typical High $1,659.59 | Professional | None | $1,096.48 | $1,258.93 | $1,659.59 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $912.01 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $912.01 | $912.01 | $1,000.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,760.83 Median $9,120.11 Typical High $11,748.98 | Facility | None | $6,760.83 | $9,120.11 | $11,748.98 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $1,513.56 | Professional | None | $1,122.02 | $1,230.27 | $1,513.56 |
Select Health Setting Facility Modifier None Typical Low $776.25 Median $794.33 Typical High $2,344.23 | Facility | None | $776.25 | $794.33 | $2,344.23 |
Select Health Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,000.00 | Professional | None | $776.25 | $776.25 | $1,000.00 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,819.70 Typical High $2,398.83 | Facility | None | $1,412.54 | $1,819.70 | $2,398.83 |
United Setting Professional Modifier None Typical Low $691.83 Median $933.25 Typical High $1,318.26 | Professional | None | $691.83 | $933.25 | $1,318.26 |
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 $1,071.52 Median $1,230.27 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,071.52 | $1,230.27 | $1,445.44 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $134.90 Typical High $177.83 | Professional | 55 · Aftercare only | $117.49 | $134.90 | $177.83 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,412.54 Median $1,659.59 Typical High $2,041.74 | Professional | 63 · Small infant | $1,412.54 | $1,659.59 | $2,041.74 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $933.25 | Professional | 54 · Surgery only | $851.14 | $851.14 | $933.25 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $134.90 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $134.90 |
Where Idaho sits
The same service costs 4.5 times more in Alaska than in South Carolina. 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 $7,738SC $1,719
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.