How much rates vary
Facilitymedian $1,698 · 10th to 90th $1,202 to $7,244Professionalmedian $1,318 · 10th to 90th $912 to $1,622
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 $776.25 Median $1,479.11 Typical High $1,479.11 | Professional | None | $776.25 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $691.83 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $645.65 | $1,047.13 | $1,047.13 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,698.24 Median $2,290.87 Typical High $7,413.10 | Facility | None | $1,698.24 | $2,290.87 | $7,413.10 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,230.27 Median $1,412.54 Typical High $1,479.11 | Professional | None | $1,230.27 | $1,412.54 | $1,479.11 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,230.27 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,096.48 | $1,230.27 | $1,318.26 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $954.99 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $851.14 | $954.99 | $1,047.13 |
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 $891.25 Median $1,023.29 Typical High $1,148.15 | Professional | None | $891.25 | $1,023.29 | $1,148.15 |
Moda Health Setting Facility Modifier None Typical Low $933.25 Median $2,137.96 Typical High $5,495.41 | Facility | None | $933.25 | $2,137.96 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $933.25 Median $1,479.11 Typical High $1,737.80 | Professional | None | $933.25 | $1,479.11 | $1,737.80 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $691.83 | $1,122.02 | $1,122.02 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $645.65 | $1,047.13 | $1,047.13 |
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 $1,071.52 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,071.52 | $1,318.26 | $1,318.26 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,659.59 | Professional | None | $1,318.26 | $1,318.26 | $1,659.59 |
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 $1,258.93 Median $1,479.11 Typical High $1,737.80 | Professional | None | $1,258.93 | $1,479.11 | $1,737.80 |
Select Health Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $676.08 | Facility | None | $630.96 | $630.96 | $676.08 |
Select Health Setting Professional Modifier None Typical Low $630.96 Median $724.44 Typical High $1,412.54 | Professional | None | $630.96 | $724.44 | $1,412.54 |
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 $812.83 Median $1,096.48 Typical High $1,584.89 | Professional | None | $812.83 | $1,096.48 | $1,584.89 |
9 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 Facility Modifier 50 · Both sides Typical Low $2,511.89 Median $3,467.37 Typical High $11,220.18 | Facility | 50 · Both sides | $2,511.89 | $3,467.37 | $11,220.18 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $1,819.70 Median $2,041.74 Typical High $2,238.72 | Professional | 50 · Both sides | $1,819.70 | $2,041.74 | $2,238.72 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $134.90 Typical High $147.91 | Professional | 55 · Aftercare only | $123.03 | $134.90 | $147.91 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $758.58 Median $851.14 Typical High $933.25 | Professional | 62 · Two surgeons | $758.58 | $851.14 | $933.25 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,479.11 Median $1,621.81 Typical High $1,778.28 | Professional | 63 · Small infant | $1,479.11 | $1,621.81 | $1,778.28 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $194.98 Median $218.78 Typical High $234.42 | Professional | 80 · Assistant surgeon | $194.98 | $218.78 | $234.42 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $194.98 Median $218.78 Typical High $234.42 | Professional | 81 · Minimal assistant surgeon | $194.98 | $218.78 | $234.42 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $194.98 Median $218.78 Typical High $234.42 | Professional | 82 · Assistant surgeon, no resident | $194.98 | $218.78 | $234.42 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $165.96 Median $186.21 Typical High $199.53 | Professional | AS · PA/NP assist | $165.96 | $186.21 | $199.53 |
Where Idaho sits
The same service costs 3.5 times more in Wisconsin than in Maryland. 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 $7,315MD $2,090
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.