How much rates vary
Facilitymedian $4,571 · 10th to 90th $2,692 to $20,417Professionalmedian $4,074 · 10th to 90th $2,692 to $4,786
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 $2,818.38 Median $4,365.16 Typical High $4,365.16 | Professional | None | $2,818.38 | $4,365.16 | $4,365.16 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,089.30 Median $3,311.31 Typical High $3,311.31 | Professional | 54 · Surgery only | $2,089.30 | $3,311.31 | $3,311.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,949.84 Median $3,090.30 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $1,949.84 | $3,090.30 | $3,090.30 |
BCBS Idaho Setting Facility Modifier None Typical Low $7,585.78 Median $10,232.93 Typical High $23,988.33 | Facility | None | $7,585.78 | $10,232.93 | $23,988.33 |
BCBS Idaho Setting Professional Modifier None Typical Low $3,715.35 Median $4,365.16 Typical High $4,570.88 | Professional | None | $3,715.35 | $4,365.16 | $4,570.88 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $3,388.44 Median $3,715.35 Typical High $4,073.80 | Professional | 54 · Surgery only | $3,388.44 | $3,715.35 | $4,073.80 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,630.27 Median $2,951.21 Typical High $3,162.28 | Professional | 78 · Unplanned return to OR | $2,630.27 | $2,951.21 | $3,162.28 |
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 $2,511.89 Median $2,951.21 Typical High $3,388.44 | Professional | None | $2,511.89 | $2,951.21 | $3,388.44 |
Moda Health Setting Facility Modifier None Typical Low $1,949.84 Median $4,365.16 Typical High $6,309.57 | Facility | None | $1,949.84 | $4,365.16 | $6,309.57 |
Moda Health Setting Professional Modifier None Typical Low $2,818.38 Median $4,365.16 Typical High $5,128.61 | Professional | None | $2,818.38 | $4,365.16 | $5,128.61 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $2,089.30 Median $3,311.31 Typical High $3,311.31 | Professional | 54 · Surgery only | $2,089.30 | $3,311.31 | $3,311.31 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,949.84 Median $3,090.30 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $1,949.84 | $3,090.30 | $3,090.30 |
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 $14,791.08 Median $19,498.45 Typical High $24,547.09 | Facility | None | $14,791.08 | $19,498.45 | $24,547.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,890.45 Median $4,570.88 Typical High $5,128.61 | Professional | None | $3,890.45 | $4,570.88 | $5,128.61 |
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 $4,168.69 | Professional | None | $1,949.84 | $2,187.76 | $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 $2,187.76 Median $3,162.28 Typical High $4,570.88 | Professional | None | $2,187.76 | $3,162.28 | $4,570.88 |
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 $371.54 Median $416.87 Typical High $457.09 | Professional | 55 · Aftercare only | $371.54 | $416.87 | $457.09 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $2,344.23 Median $2,630.27 Typical High $2,818.38 | Professional | 62 · Two surgeons | $2,344.23 | $2,630.27 | $2,818.38 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $4,466.84 Median $5,011.87 Typical High $5,495.41 | Professional | 63 · Small infant | $4,466.84 | $5,011.87 | $5,495.41 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $602.56 Median $660.69 Typical High $724.44 | Professional | 80 · Assistant surgeon | $602.56 | $660.69 | $724.44 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $602.56 Median $660.69 Typical High $724.44 | Professional | 81 · Minimal assistant surgeon | $602.56 | $660.69 | $724.44 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $602.56 Median $660.69 Typical High $724.44 | Professional | 82 · Assistant surgeon, no resident | $602.56 | $660.69 | $724.44 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $512.86 Median $562.34 Typical High $616.60 | Professional | AS · PA/NP assist | $512.86 | $562.34 | $616.60 |
Where Idaho sits
The same service costs 9.1 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· 9th of 51
$4,074
AK $9,333TX $1,023
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.