How much rates vary
Facilitymedian $10,000 · 10th to 90th $3,388 to $26,303Professionalmedian $4,074 · 10th to 90th $2,754 to $4,898
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 $4,466.84 Median $4,677.35 Typical High $5,495.41 | Facility | None | $4,466.84 | $4,677.35 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $2,884.03 Median $4,466.84 Typical High $4,466.84 | Professional | None | $2,884.03 | $4,466.84 | $4,466.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,137.96 Median $3,388.44 Typical High $3,388.44 | Professional | 54 · Surgery only | $2,137.96 | $3,388.44 | $3,388.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,995.26 Median $3,162.28 Typical High $3,162.28 | Professional | 78 · Unplanned return to OR | $1,995.26 | $3,162.28 | $3,162.28 |
BCBS Idaho Setting Facility Modifier None Typical Low $7,413.10 Median $10,000.00 Typical High $30,902.95 | Facility | None | $7,413.10 | $10,000.00 | $30,902.95 |
BCBS Idaho Setting Professional Modifier None Typical Low $3,801.89 Median $4,466.84 Typical High $4,677.35 | Professional | None | $3,801.89 | $4,466.84 | $4,677.35 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $3,388.44 Median $3,801.89 Typical High $4,168.69 | Professional | 54 · Surgery only | $3,388.44 | $3,801.89 | $4,168.69 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,630.27 Median $2,951.21 Typical High $3,235.94 | Professional | 78 · Unplanned return to OR | $2,630.27 | $2,951.21 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $12,882.50 Median $14,454.40 Typical High $19,498.45 | Facility | None | $12,882.50 | $14,454.40 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $3,019.95 Typical High $3,467.37 | Professional | None | $2,454.71 | $3,019.95 | $3,467.37 |
Moda Health Setting Facility Modifier None Typical Low $1,949.84 Median $4,466.84 Typical High $6,456.54 | Facility | None | $1,949.84 | $4,466.84 | $6,456.54 |
Moda Health Setting Professional Modifier None Typical Low $2,884.03 Median $4,466.84 Typical High $5,248.07 | Professional | None | $2,884.03 | $4,466.84 | $5,248.07 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $2,137.96 Median $3,388.44 Typical High $3,388.44 | Professional | 54 · Surgery only | $2,137.96 | $3,388.44 | $3,388.44 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,995.26 Median $3,162.28 Typical High $3,162.28 | Professional | 78 · Unplanned return to OR | $1,995.26 | $3,162.28 | $3,162.28 |
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 $3,311.31 Median $4,073.80 Typical High $4,073.80 | Facility | None | $3,311.31 | $4,073.80 | $4,073.80 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $5,128.61 | Professional | None | $4,073.80 | $4,073.80 | $5,128.61 |
Regence BlueShield Setting Facility Modifier None Typical Low $19,054.61 Median $25,118.86 Typical High $31,622.78 | Facility | None | $19,054.61 | $25,118.86 | $31,622.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,168.69 Median $4,677.35 Typical High $5,248.07 | Professional | None | $4,168.69 | $4,677.35 | $5,248.07 |
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 $2,187.76 Typical High $13,182.57 | Professional | None | $1,949.84 | $2,187.76 | $13,182.57 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $5,495.41 Typical High $10,715.19 | Facility | None | $1,584.89 | $5,495.41 | $10,715.19 |
United Setting Professional Modifier None Typical Low $2,238.72 Median $3,235.94 Typical High $4,677.35 | Professional | None | $2,238.72 | $3,235.94 | $4,677.35 |
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 $457.09 | Professional | 55 · Aftercare only | $380.19 | $426.58 | $457.09 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $2,344.23 Median $2,630.27 Typical High $2,884.03 | Professional | 62 · Two surgeons | $2,344.23 | $2,630.27 | $2,884.03 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $4,570.88 Median $5,011.87 Typical High $5,495.41 | Professional | 63 · Small infant | $4,570.88 | $5,011.87 | $5,495.41 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $602.56 Median $676.08 Typical High $741.31 | Professional | 80 · Assistant surgeon | $602.56 | $676.08 | $741.31 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $602.56 Median $676.08 Typical High $741.31 | Professional | 81 · Minimal assistant surgeon | $602.56 | $676.08 | $741.31 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $602.56 Median $676.08 Typical High $741.31 | Professional | 82 · Assistant surgeon, no resident | $602.56 | $676.08 | $741.31 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $512.86 Median $575.44 Typical High $630.96 | Professional | AS · PA/NP assist | $512.86 | $575.44 | $630.96 |
Where Idaho sits
The same service costs 8.1 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· 10th of 51
$4,266
AK $9,550TX $1,175
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.