How much rates vary
Facilitymedian $4,571 · 10th to 90th $2,692 to $10,965Professionalmedian $4,169 · 10th to 90th $2,884 to $5,129
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 $4,365.16 Median $4,466.84 Typical High $8,511.38 | Facility | None | $4,365.16 | $4,466.84 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $4,786.30 Typical High $4,786.30 | Professional | None | $2,398.83 | $4,786.30 | $4,786.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,238.72 Median $3,548.13 Typical High $3,548.13 | Professional | 54 · Surgery only | $2,238.72 | $3,548.13 | $3,548.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,089.30 Median $3,311.31 Typical High $3,311.31 | Professional | 78 · Unplanned return to OR | $2,089.30 | $3,311.31 | $3,311.31 |
BCBS Idaho Setting Facility Modifier None Typical Low $6,918.31 Median $9,120.11 Typical High $12,022.64 | Facility | None | $6,918.31 | $9,120.11 | $12,022.64 |
BCBS Idaho Setting Professional Modifier None Typical Low $3,801.89 Median $4,466.84 Typical High $4,786.30 | Professional | None | $3,801.89 | $4,466.84 | $4,786.30 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $3,467.37 Median $3,801.89 Typical High $4,168.69 | Professional | 54 · Surgery only | $3,467.37 | $3,801.89 | $4,168.69 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,691.53 Median $2,951.21 Typical High $3,235.94 | Professional | 78 · Unplanned return to OR | $2,691.53 | $2,951.21 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $4,073.80 Median $4,570.88 Typical High $6,165.95 | Facility | None | $4,073.80 | $4,570.88 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $3,235.94 Typical High $3,630.78 | Professional | None | $2,884.03 | $3,235.94 | $3,630.78 |
Moda Health Setting Facility Modifier None Typical Low $1,949.84 Median $4,786.30 Typical High $6,760.83 | Facility | None | $1,949.84 | $4,786.30 | $6,760.83 |
Moda Health Setting Professional Modifier None Typical Low $3,019.95 Median $4,786.30 Typical High $5,623.41 | Professional | None | $3,019.95 | $4,786.30 | $5,623.41 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $2,238.72 Median $3,548.13 Typical High $3,548.13 | Professional | 54 · Surgery only | $2,238.72 | $3,548.13 | $3,548.13 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,089.30 Median $3,311.31 Typical High $3,311.31 | Professional | 78 · Unplanned return to OR | $2,089.30 | $3,311.31 | $3,311.31 |
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 $3,388.44 Median $4,168.69 Typical High $4,168.69 | Facility | None | $3,388.44 | $4,168.69 | $4,168.69 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $5,248.07 | Professional | None | $4,168.69 | $4,168.69 | $5,248.07 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,585.78 Median $10,000.00 Typical High $12,589.25 | Facility | None | $7,585.78 | $10,000.00 | $12,589.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,073.80 Median $4,786.30 Typical High $5,623.41 | Professional | None | $4,073.80 | $4,786.30 | $5,623.41 |
Select Health Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,137.96 | Facility | None | $1,949.84 | $1,949.84 | $2,137.96 |
Select Health Setting Professional Modifier None Typical Low $1,949.84 Median $2,344.23 Typical High $4,168.69 | Professional | None | $1,949.84 | $2,344.23 | $4,168.69 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,818.38 Typical High $4,265.80 | Facility | None | $1,288.25 | $2,818.38 | $4,265.80 |
United Setting Professional Modifier None Typical Low $2,511.89 Median $3,467.37 Typical High $4,897.79 | Professional | None | $2,511.89 | $3,467.37 | $4,897.79 |
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 $380.19 Median $426.58 Typical High $467.74 | Professional | 55 · Aftercare only | $380.19 | $426.58 | $467.74 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $2,398.83 Median $2,691.53 Typical High $2,884.03 | Professional | 62 · Two surgeons | $2,398.83 | $2,691.53 | $2,884.03 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $4,570.88 Median $5,128.61 Typical High $5,623.41 | Professional | 63 · Small infant | $4,570.88 | $5,128.61 | $5,623.41 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $616.60 Median $676.08 Typical High $741.31 | Professional | 80 · Assistant surgeon | $616.60 | $676.08 | $741.31 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $616.60 Median $676.08 Typical High $741.31 | Professional | 81 · Minimal assistant surgeon | $616.60 | $676.08 | $741.31 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $616.60 Median $676.08 Typical High $741.31 | Professional | 82 · Assistant surgeon, no resident | $616.60 | $676.08 | $741.31 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $524.81 Median $575.44 Typical High $630.96 | Professional | AS · PA/NP assist | $524.81 | $575.44 | $630.96 |
Where Idaho sits
The same service costs 4.0 times more in Alaska 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
AK $19,545KY $4,915
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.