How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,514 to $9,120Professionalmedian $2,754 · 10th to 90th $2,188 to $3,388
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 $3,388.44 Median $4,466.84 Typical High $8,709.64 | Facility | None | $3,388.44 | $4,466.84 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,454.71 | $2,691.53 | $2,691.53 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,995.26 Median $2,754.23 Typical High $9,332.54 | Facility | None | $1,995.26 | $2,754.23 | $9,332.54 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,691.53 Median $2,884.03 Typical High $3,311.31 | Professional | None | $2,691.53 | $2,884.03 | $3,311.31 |
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 $1,949.84 Median $2,454.71 Typical High $2,754.23 | Professional | None | $1,949.84 | $2,454.71 | $2,754.23 |
Moda Health Setting Facility Modifier None Typical Low $1,445.44 Median $2,691.53 Typical High $5,495.41 | Facility | None | $1,445.44 | $2,691.53 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $2,630.27 Median $2,691.53 Typical High $3,388.44 | Professional | None | $2,630.27 | $2,691.53 | $3,388.44 |
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 $2,238.72 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,238.72 | $2,630.27 | $2,630.27 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,630.27 Median $2,951.21 Typical High $3,090.30 | Professional | None | $2,630.27 | $2,951.21 | $3,090.30 |
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 $2,754.23 Median $2,754.23 Typical High $3,388.44 | Professional | None | $2,754.23 | $2,754.23 | $3,388.44 |
Select Health Setting Facility Modifier None Typical Low $1,445.44 Median $1,479.11 Typical High $5,888.44 | Facility | None | $1,445.44 | $1,479.11 | $5,888.44 |
Select Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,238.72 | Professional | None | $1,445.44 | $1,445.44 | $2,238.72 |
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 $1,698.24 Median $2,290.87 Typical High $3,019.95 | Professional | None | $1,698.24 | $2,290.87 | $3,019.95 |
21 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 $1,230.27 Median $1,348.96 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,230.27 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $489.78 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $1,995.26 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,862.09 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $407.38 Typical High $407.38 | Professional | 55 · Aftercare only | $371.54 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $269.15 Typical High $269.15 | Professional | 56 · Pre-op care only | $245.47 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $1,862.09 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,737.80 | $1,862.09 | $1,862.09 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $2,398.83 Median $2,691.53 Typical High $3,090.30 | Professional | 54 · Surgery only | $2,398.83 | $2,691.53 | $3,090.30 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $295.12 Typical High $338.84 | Professional | 55 · Aftercare only | $269.15 | $295.12 | $338.84 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,659.59 Median $1,862.09 Typical High $2,137.96 | Professional | 62 · Two surgeons | $1,659.59 | $1,862.09 | $2,137.96 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $3,235.94 Median $3,548.13 Typical High $4,073.80 | Professional | 63 · Small infant | $3,235.94 | $3,548.13 | $4,073.80 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $2,089.30 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,862.09 | $2,089.30 | $2,398.83 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $426.58 Median $478.63 Typical High $549.54 | Professional | 80 · Assistant surgeon | $426.58 | $478.63 | $549.54 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $426.58 Median $478.63 Typical High $549.54 | Professional | 81 · Minimal assistant surgeon | $426.58 | $478.63 | $549.54 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $426.58 Median $478.63 Typical High $549.54 | Professional | 82 · Assistant surgeon, no resident | $426.58 | $478.63 | $549.54 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $363.08 Median $407.38 Typical High $467.74 | Professional | AS · PA/NP assist | $363.08 | $407.38 | $467.74 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,230.27 Median $1,348.96 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,230.27 | $1,348.96 | $1,348.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $489.78 | $537.03 | $537.03 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $1,995.26 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,862.09 | $1,995.26 | $1,995.26 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $407.38 Typical High $407.38 | Professional | 55 · Aftercare only | $371.54 | $407.38 | $407.38 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $269.15 Typical High $269.15 | Professional | 56 · Pre-op care only | $245.47 | $269.15 | $269.15 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $1,862.09 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,737.80 | $1,862.09 | $1,862.09 |
Where Idaho sits
The same service costs 8.7 times more in Alaska than in Texas. 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· 12th of 51
$2,754
AK $7,244TX $832
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.