How much rates vary
Facilitymedian $4,677 · 10th to 90th $2,089 to $8,913Professionalmedian $3,388 · 10th to 90th $2,455 to $4,074
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 $3,981.07 Typical High $3,981.07 | Professional | None | $2,454.71 | $3,981.07 | $3,981.07 |
BCBS Idaho Setting Facility Modifier None Typical Low $6,309.57 Median $8,128.31 Typical High $10,232.93 | Facility | None | $6,309.57 | $8,128.31 | $10,232.93 |
BCBS Idaho Setting Professional Modifier None Typical Low $3,019.95 Median $3,548.13 Typical High $3,890.45 | Professional | None | $3,019.95 | $3,548.13 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $4,168.69 Median $4,677.35 Typical High $6,456.54 | Facility | None | $4,168.69 | $4,677.35 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $2,691.53 Typical High $3,090.30 | Professional | None | $2,344.23 | $2,691.53 | $3,090.30 |
Moda Health Setting Facility Modifier None Typical Low $1,548.82 Median $3,981.07 Typical High $5,754.40 | Facility | None | $1,548.82 | $3,981.07 | $5,754.40 |
Moda Health Setting Professional Modifier None Typical Low $2,454.71 Median $3,981.07 Typical High $4,677.35 | Professional | None | $2,454.71 | $3,981.07 | $4,677.35 |
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 $2,630.27 Median $3,235.94 Typical High $3,235.94 | Facility | None | $2,630.27 | $3,235.94 | $3,235.94 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $4,265.80 | Professional | None | $3,235.94 | $3,235.94 | $4,265.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,165.95 Median $8,128.31 Typical High $10,232.93 | Facility | None | $6,165.95 | $8,128.31 | $10,232.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,467.37 Median $3,890.45 Typical High $4,677.35 | Professional | None | $3,467.37 | $3,890.45 | $4,677.35 |
Select Health Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,621.81 | Facility | None | $1,548.82 | $1,548.82 | $1,621.81 |
Select Health Setting Professional Modifier None Typical Low $1,548.82 Median $1,949.84 Typical High $4,365.16 | Professional | None | $1,548.82 | $1,949.84 | $4,365.16 |
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 $2,137.96 Median $2,884.03 Typical High $4,365.16 | Professional | None | $2,137.96 | $2,884.03 | $4,365.16 |
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 $1,995.26 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,230.27 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $812.83 Typical High $812.83 | Professional | 53 · Discontinued | $489.78 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $3,019.95 Typical High $3,019.95 | Professional | 54 · Surgery only | $1,862.09 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $602.56 Typical High $602.56 | Professional | 55 · Aftercare only | $371.54 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $398.11 Typical High $398.11 | Professional | 56 · Pre-op care only | $245.47 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $2,818.38 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $1,737.80 | $2,818.38 | $2,818.38 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $2,691.53 Median $3,162.28 Typical High $3,311.31 | Professional | 54 · Surgery only | $2,691.53 | $3,162.28 | $3,311.31 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $346.74 Typical High $363.08 | Professional | 55 · Aftercare only | $302.00 | $346.74 | $363.08 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,862.09 Median $2,187.76 Typical High $2,290.87 | Professional | 62 · Two surgeons | $1,862.09 | $2,187.76 | $2,290.87 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $3,630.78 Median $4,168.69 Typical High $4,365.16 | Professional | 63 · Small infant | $3,630.78 | $4,168.69 | $4,365.16 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,089.30 Median $2,454.71 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $2,089.30 | $2,454.71 | $2,570.40 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $478.63 Median $549.54 Typical High $588.84 | Professional | 80 · Assistant surgeon | $478.63 | $549.54 | $588.84 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $478.63 Median $549.54 Typical High $588.84 | Professional | 81 · Minimal assistant surgeon | $478.63 | $549.54 | $588.84 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $478.63 Median $549.54 Typical High $588.84 | Professional | 82 · Assistant surgeon, no resident | $478.63 | $549.54 | $588.84 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $407.38 Median $467.74 Typical High $501.19 | Professional | AS · PA/NP assist | $407.38 | $467.74 | $501.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,230.27 Median $1,995.26 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,230.27 | $1,995.26 | $1,995.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $812.83 Typical High $812.83 | Professional | 53 · Discontinued | $489.78 | $812.83 | $812.83 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $3,019.95 Typical High $3,019.95 | Professional | 54 · Surgery only | $1,862.09 | $3,019.95 | $3,019.95 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $602.56 Typical High $602.56 | Professional | 55 · Aftercare only | $371.54 | $602.56 | $602.56 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $398.11 Typical High $398.11 | Professional | 56 · Pre-op care only | $245.47 | $398.11 | $398.11 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $2,818.38 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $1,737.80 | $2,818.38 | $2,818.38 |
Where Idaho sits
The same service costs 21.9 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
$3,467
AK $7,943TX $363
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.