How much rates vary
Facilitymedian $1,072 · 10th to 90th $550 to $4,786Professionalmedian $1,862 · 10th to 90th $1,318 to $2,344
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 $4,466.84 Median $4,466.84 Typical High $5,495.41 | Facility | None | $4,466.84 | $4,466.84 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,230.27 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,380.38 Typical High $1,380.38 | Professional | 54 · Surgery only | $912.01 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,288.25 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $851.14 | $1,288.25 | $1,288.25 |
BCBS Idaho Setting Facility Modifier None Typical Low $4,265.80 Median $4,570.88 Typical High $5,495.41 | Facility | None | $4,265.80 | $4,570.88 | $5,495.41 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,862.09 Median $2,089.30 Typical High $2,511.89 | Professional | None | $1,862.09 | $2,089.30 | $2,511.89 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $2,041.74 Typical High $2,238.72 | Professional | 54 · Surgery only | $1,778.28 | $2,041.74 | $2,238.72 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,621.81 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,621.81 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $1,380.38 Typical High $12,589.25 | Facility | None | $151.36 | $1,380.38 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,737.80 Typical High $2,041.74 | Professional | None | $1,412.54 | $1,737.80 | $2,041.74 |
Moda Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,819.70 Typical High $5,495.41 | Facility | None | $1,071.52 | $1,819.70 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,548.82 Median $1,819.70 Typical High $2,290.87 | Professional | None | $1,548.82 | $1,819.70 | $2,290.87 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,380.38 Typical High $1,380.38 | Professional | 54 · Surgery only | $1,174.90 | $1,380.38 | $1,380.38 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,288.25 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,288.25 | $1,288.25 |
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 $1,819.70 Median $2,041.74 Typical High $2,041.74 | Facility | None | $1,819.70 | $2,041.74 | $2,041.74 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,238.72 | Professional | None | $2,041.74 | $2,041.74 | $2,238.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,290.87 | Professional | None | $1,862.09 | $1,862.09 | $2,290.87 |
Select Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,148.15 | Facility | None | $1,071.52 | $1,071.52 | $1,148.15 |
Select Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,513.56 | Professional | None | $1,071.52 | $1,071.52 | $1,513.56 |
United Setting Facility Modifier None Typical Low $436.52 Median $676.08 Typical High $870.96 | Facility | None | $436.52 | $676.08 | $870.96 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,698.24 Typical High $2,238.72 | Professional | None | $1,202.26 | $1,698.24 | $2,238.72 |
8 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 50 · Both sides Typical Low $3,019.95 Median $3,467.37 Typical High $3,715.35 | Professional | 50 · Both sides | $3,019.95 | $3,467.37 | $3,715.35 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $229.09 Typical High $251.19 | Professional | 55 · Aftercare only | $199.53 | $229.09 | $251.19 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,258.93 Median $1,445.44 Typical High $1,548.82 | Professional | 62 · Two surgeons | $1,258.93 | $1,445.44 | $1,548.82 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,398.83 Median $2,754.23 Typical High $3,019.95 | Professional | 63 · Small infant | $2,398.83 | $2,754.23 | $3,019.95 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $316.23 Median $363.08 Typical High $398.11 | Professional | 80 · Assistant surgeon | $316.23 | $363.08 | $398.11 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $316.23 Median $363.08 Typical High $398.11 | Professional | 81 · Minimal assistant surgeon | $316.23 | $363.08 | $398.11 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $316.23 Median $363.08 Typical High $398.11 | Professional | 82 · Assistant surgeon, no resident | $316.23 | $363.08 | $398.11 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $269.15 Median $309.03 Typical High $338.84 | Professional | AS · PA/NP assist | $269.15 | $309.03 | $338.84 |
Where Idaho sits
The same service costs 6.8 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· 15th of 51
$1,862
AK $5,012TX $741
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.