How much rates vary
Facilitymedian $1,698 · 10th to 90th $1,230 to $7,244Professionalmedian $1,905 · 10th to 90th $1,318 to $2,291
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 $2,884.03 Median $4,466.84 Typical High $7,762.47 | Facility | None | $2,884.03 | $4,466.84 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $1,348.96 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,621.81 Typical High $1,621.81 | Professional | 54 · Surgery only | $1,000.00 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,513.56 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $933.25 | $1,513.56 | $1,513.56 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,659.59 Median $2,290.87 Typical High $7,413.10 | Facility | None | $1,659.59 | $2,290.87 | $7,413.10 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,737.80 Median $2,041.74 Typical High $2,089.30 | Professional | None | $1,737.80 | $2,041.74 | $2,089.30 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,737.80 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,548.82 | $1,737.80 | $1,905.46 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,348.96 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,348.96 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $2,089.30 | Facility | None | $1,380.38 | $1,548.82 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $1,659.59 | Professional | None | $1,258.93 | $1,445.44 | $1,659.59 |
Moda Health Setting Facility Modifier None Typical Low $891.25 Median $2,137.96 Typical High $5,495.41 | Facility | None | $891.25 | $2,137.96 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,348.96 Median $2,137.96 Typical High $2,511.89 | Professional | None | $1,348.96 | $2,137.96 | $2,511.89 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,621.81 Typical High $1,621.81 | Professional | 54 · Surgery only | $1,000.00 | $1,621.81 | $1,621.81 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,513.56 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $933.25 | $1,513.56 | $1,513.56 |
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 $1,513.56 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,513.56 | $1,862.09 | $1,862.09 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,344.23 | Professional | None | $1,862.09 | $1,862.09 | $2,344.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,570.88 Median $6,606.93 Typical High $9,332.54 | Facility | None | $4,570.88 | $6,606.93 | $9,332.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,778.28 Median $2,089.30 Typical High $2,511.89 | Professional | None | $1,778.28 | $2,089.30 | $2,511.89 |
Select Health Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $933.25 | Facility | None | $891.25 | $891.25 | $933.25 |
Select Health Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,621.81 | Professional | None | $891.25 | $1,047.13 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $1,621.81 | Facility | None | $1,047.13 | $1,412.54 | $1,621.81 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $2,238.72 | Professional | None | $1,148.15 | $1,548.82 | $2,238.72 |
6 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 $173.78 Median $194.98 Typical High $208.93 | Professional | 55 · Aftercare only | $173.78 | $194.98 | $208.93 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,089.30 Median $2,290.87 Typical High $2,511.89 | Professional | 63 · Small infant | $2,089.30 | $2,290.87 | $2,511.89 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $275.42 Median $309.03 Typical High $338.84 | Professional | 80 · Assistant surgeon | $275.42 | $309.03 | $338.84 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $275.42 Median $309.03 Typical High $338.84 | Professional | 81 · Minimal assistant surgeon | $275.42 | $309.03 | $338.84 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $275.42 Median $309.03 Typical High $338.84 | Professional | 82 · Assistant surgeon, no resident | $275.42 | $309.03 | $338.84 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $234.42 Median $263.03 Typical High $281.84 | Professional | AS · PA/NP assist | $234.42 | $263.03 | $281.84 |
Where Idaho sits
The same service costs 3.6 times more in Wisconsin 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
WI $8,126KY $2,271
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.