How much rates vary
Facilitymedian $3,715 · 10th to 90th $871 to $13,183Professionalmedian $813 · 10th to 90th $513 to $1,318
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 $467.74 Median $724.44 Typical High $1,288.25 | Professional | None | $467.74 | $724.44 | $1,288.25 |
BCBS Idaho Setting Facility Modifier None Typical Low $3,162.28 Median $5,011.87 Typical High $15,135.61 | Facility | None | $3,162.28 | $5,011.87 | $15,135.61 |
BCBS Idaho Setting Professional Modifier None Typical Low $602.56 Median $933.25 Typical High $1,348.96 | Professional | None | $602.56 | $933.25 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $3,311.31 Median $3,715.35 Typical High $5,011.87 | Facility | None | $3,311.31 | $3,715.35 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $691.83 Typical High $1,023.29 | Professional | None | $501.19 | $691.83 | $1,023.29 |
Moda Health Setting Facility Modifier None Typical Low $309.03 Median $1,047.13 Typical High $5,495.41 | Facility | None | $309.03 | $1,047.13 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $549.54 Median $851.14 Typical High $1,288.25 | Professional | None | $549.54 | $851.14 | $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 $645.65 Median $645.65 Typical High $1,230.27 | Facility | None | $645.65 | $645.65 | $1,230.27 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $1,548.82 | Professional | None | $645.65 | $812.83 | $1,548.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,772.37 Median $14,125.38 Typical High $19,054.61 | Facility | None | $9,772.37 | $14,125.38 | $19,054.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $707.95 Median $851.14 Typical High $1,479.11 | Professional | None | $707.95 | $851.14 | $1,479.11 |
Select Health Setting Facility Modifier None Typical Low $588.84 Median $602.56 Typical High $10,471.29 | Facility | None | $588.84 | $602.56 | $10,471.29 |
Select Health Setting Professional Modifier None Typical Low $371.54 Median $588.84 Typical High $3,388.44 | Professional | None | $371.54 | $588.84 | $3,388.44 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,238.72 Typical High $3,388.44 | Facility | None | $1,698.24 | $2,238.72 | $3,388.44 |
United Setting Professional Modifier None Typical Low $407.38 Median $724.44 Typical High $1,318.26 | Professional | None | $407.38 | $724.44 | $1,318.26 |
23 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 $229.09 Median $363.08 Typical High $645.65 | Professional | 52 · Reduced service | $229.09 | $363.08 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $144.54 Typical High $257.04 | Professional | 53 · Discontinued | $93.33 | $144.54 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $549.54 Typical High $954.99 | Professional | 54 · Surgery only | $346.74 | $549.54 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $109.65 Typical High $190.55 | Professional | 55 · Aftercare only | $69.18 | $109.65 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $72.44 Typical High $128.82 | Professional | 56 · Pre-op care only | $46.77 | $72.44 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $512.86 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $323.59 | $512.86 | $891.25 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $660.69 Typical High $1,174.90 | Professional | 54 · Surgery only | $537.03 | $660.69 | $1,174.90 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $70.79 Typical High $112.20 | Professional | 55 · Aftercare only | $60.26 | $70.79 | $112.20 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $724.44 Median $954.99 Typical High $1,659.59 | Professional | 63 · Small infant | $724.44 | $954.99 | $1,659.59 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $501.19 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $416.87 | $501.19 | $954.99 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $95.50 Median $186.21 Typical High $218.78 | Professional | 80 · Assistant surgeon | $95.50 | $186.21 | $218.78 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $107.15 Median $181.97 Typical High $213.80 | Professional | 81 · Minimal assistant surgeon | $107.15 | $181.97 | $213.80 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $100.00 Median $117.49 Typical High $213.80 | Professional | 82 · Assistant surgeon, no resident | $100.00 | $117.49 | $213.80 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $100.00 Typical High $181.97 | Professional | AS · PA/NP assist | $81.28 | $100.00 | $181.97 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $363.08 Typical High $645.65 | Professional | 52 · Reduced service | $229.09 | $363.08 | $645.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $144.54 Typical High $257.04 | Professional | 53 · Discontinued | $93.33 | $144.54 | $257.04 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $549.54 Typical High $954.99 | Professional | 54 · Surgery only | $346.74 | $549.54 | $954.99 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $109.65 Typical High $190.55 | Professional | 55 · Aftercare only | $69.18 | $109.65 | $190.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $72.44 Typical High $128.82 | Professional | 56 · Pre-op care only | $46.77 | $72.44 | $128.82 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $512.86 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $323.59 | $512.86 | $891.25 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $954.99 | Professional | 54 · Surgery only | $562.34 | $562.34 | $954.99 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $138.04 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $138.04 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $602.56 | $602.56 | $1,023.29 |
Where Idaho sits
The same service costs 4.9 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· 11th of 51
$851
AK $1,862TX $380
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.