How much rates vary
Facilitymedian $17,783 · 10th to 90th $1,514 to $44,668Professionalmedian $2,089 · 10th to 90th $1,445 to $2,570
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 $2,884.03 Median $4,466.84 Typical High $7,762.47 | Facility | None | $2,884.03 | $4,466.84 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $2,398.83 Typical High $2,398.83 | Professional | None | $1,202.26 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,819.70 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,148.15 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,698.24 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,698.24 | $1,698.24 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,344.23 Median $20,892.96 Typical High $48,977.88 | Facility | None | $2,344.23 | $20,892.96 | $48,977.88 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $2,344.23 | Professional | None | $1,905.46 | $2,238.72 | $2,344.23 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,905.46 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,698.24 | $1,905.46 | $2,089.30 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,479.11 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,479.11 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $19,498.45 Median $22,387.21 Typical High $30,199.52 | Facility | None | $19,498.45 | $22,387.21 | $30,199.52 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $1,862.09 | Professional | None | $1,318.26 | $1,659.59 | $1,862.09 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $2,398.83 Typical High $5,495.41 | Facility | None | $977.24 | $2,398.83 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,513.56 Median $2,398.83 Typical High $2,818.38 | Professional | None | $1,513.56 | $2,398.83 | $2,818.38 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,819.70 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,148.15 | $1,819.70 | $1,819.70 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,698.24 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,698.24 | $1,698.24 |
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 $1,659.59 Median $2,041.74 Typical High $2,041.74 | Facility | None | $1,659.59 | $2,041.74 | $2,041.74 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,570.40 | Professional | None | $2,041.74 | $2,041.74 | $2,570.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $30,902.95 Median $46,773.51 Typical High $61,659.50 | Facility | None | $30,902.95 | $46,773.51 | $61,659.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,089.30 Median $2,344.23 Typical High $2,818.38 | Professional | None | $2,089.30 | $2,344.23 | $2,818.38 |
Select Health Setting Facility Modifier None Typical Low $977.24 Median $1,000.00 Typical High $15,848.93 | Facility | None | $977.24 | $1,000.00 | $15,848.93 |
Select Health Setting Professional Modifier None Typical Low $977.24 Median $1,174.90 Typical High $20,417.38 | Professional | None | $977.24 | $1,174.90 | $20,417.38 |
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 $1,202.26 Median $1,698.24 Typical High $2,454.71 | Professional | None | $1,202.26 | $1,698.24 | $2,454.71 |
7 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 55 · Aftercare only Typical Low $190.55 Median $213.80 Typical High $229.09 | Professional | 55 · Aftercare only | $190.55 | $213.80 | $229.09 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,174.90 Median $1,318.26 Typical High $1,445.44 | Professional | 62 · Two surgeons | $1,174.90 | $1,318.26 | $1,445.44 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,290.87 Median $2,511.89 Typical High $2,754.23 | Professional | 63 · Small infant | $2,290.87 | $2,511.89 | $2,754.23 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $302.00 Median $338.84 Typical High $371.54 | Professional | 80 · Assistant surgeon | $302.00 | $338.84 | $371.54 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $302.00 Median $338.84 Typical High $371.54 | Professional | 81 · Minimal assistant surgeon | $302.00 | $338.84 | $371.54 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $302.00 Median $338.84 Typical High $371.54 | Professional | 82 · Assistant surgeon, no resident | $302.00 | $338.84 | $371.54 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $257.04 Median $288.40 Typical High $316.23 | Professional | AS · PA/NP assist | $257.04 | $288.40 | $316.23 |
Where Idaho sits
The same service costs 8.5 times more in Wyoming than in Kentucky. 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
WY $22,644KY $2,656
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.