How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,995 to $17,783Professionalmedian $2,399 · 10th to 90th $1,660 to $2,951
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 $1,380.38 Median $2,754.23 Typical High $2,754.23 | Professional | None | $1,380.38 | $2,754.23 | $2,754.23 |
BCBS Idaho Setting Facility Modifier None Typical Low $4,897.79 Median $9,332.54 Typical High $17,782.79 | Facility | None | $4,897.79 | $9,332.54 | $17,782.79 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,187.76 Median $2,570.40 Typical High $2,630.27 | Professional | None | $2,187.76 | $2,570.40 | $2,630.27 |
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 $1,621.81 Median $1,862.09 Typical High $2,137.96 | Professional | None | $1,621.81 | $1,862.09 | $2,137.96 |
Moda Health Setting Facility Modifier None Typical Low $1,445.44 Median $4,466.84 Typical High $20,892.96 | Facility | None | $1,445.44 | $4,466.84 | $20,892.96 |
Moda Health Setting Professional Modifier None Typical Low $1,737.80 Median $2,754.23 Typical High $3,235.94 | Professional | None | $1,737.80 | $2,754.23 | $3,235.94 |
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 $1,905.46 Median $2,344.23 Typical High $2,344.23 | Facility | None | $1,905.46 | $2,344.23 | $2,344.23 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,951.21 | Professional | None | $2,344.23 | $2,344.23 | $2,951.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,918.31 Median $13,182.57 Typical High $19,054.61 | Facility | None | $6,918.31 | $13,182.57 | $19,054.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,238.72 Median $2,630.27 Typical High $3,235.94 | Professional | None | $2,238.72 | $2,630.27 | $3,235.94 |
Select Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,174.90 | Facility | None | $1,122.02 | $1,122.02 | $1,174.90 |
Select Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,348.96 Typical High $3,388.44 | Professional | None | $1,122.02 | $1,348.96 | $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 $1,445.44 Median $1,995.26 Typical High $2,818.38 | Professional | None | $1,445.44 | $1,995.26 | $2,818.38 |
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 $851.14 Median $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $851.14 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $549.54 Typical High $549.54 | Professional | 53 · Discontinued | $346.74 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $2,089.30 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,288.25 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $416.87 Typical High $416.87 | Professional | 55 · Aftercare only | $257.04 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $275.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $173.78 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,949.84 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,949.84 | $1,949.84 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,949.84 Median $2,187.76 Typical High $2,398.83 | Professional | 54 · Surgery only | $1,949.84 | $2,187.76 | $2,398.83 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $245.47 Typical High $263.03 | Professional | 55 · Aftercare only | $218.78 | $245.47 | $263.03 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,348.96 Median $1,513.56 Typical High $1,659.59 | Professional | 62 · Two surgeons | $1,348.96 | $1,513.56 | $1,659.59 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,630.27 Median $2,884.03 Typical High $3,162.28 | Professional | 63 · Small infant | $2,630.27 | $2,884.03 | $3,162.28 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,698.24 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,698.24 | $1,862.09 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $346.74 Median $389.05 Typical High $426.58 | Professional | 80 · Assistant surgeon | $346.74 | $389.05 | $426.58 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $346.74 Median $389.05 Typical High $426.58 | Professional | 81 · Minimal assistant surgeon | $346.74 | $389.05 | $426.58 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $346.74 Median $389.05 Typical High $426.58 | Professional | 82 · Assistant surgeon, no resident | $346.74 | $389.05 | $426.58 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $295.12 Median $331.13 Typical High $354.81 | Professional | AS · PA/NP assist | $295.12 | $331.13 | $354.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $851.14 Median $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $851.14 | $1,380.38 | $1,380.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $549.54 Typical High $549.54 | Professional | 53 · Discontinued | $346.74 | $549.54 | $549.54 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $2,089.30 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,288.25 | $2,089.30 | $2,089.30 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $416.87 Typical High $416.87 | Professional | 55 · Aftercare only | $257.04 | $416.87 | $416.87 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $275.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $173.78 | $275.42 | $275.42 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,949.84 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,949.84 | $1,949.84 |
Where Idaho sits
The same service costs 15.1 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
$2,455
AK $5,370TX $355
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.