How much rates vary
Facilitymedian $1,288 · 10th to 90th $575 to $5,012Professionalmedian $977 · 10th to 90th $646 to $1,175
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 $1,621.81 Median $4,466.84 Typical High $7,244.36 | Facility | None | $1,621.81 | $4,466.84 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $1,071.52 Typical High $1,071.52 | Professional | None | $676.08 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $512.86 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $478.63 | $741.31 | $741.31 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $5,011.87 | Facility | None | $1,288.25 | $2,238.72 | $5,011.87 |
BCBS Idaho Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,096.48 | Professional | None | $891.25 | $1,047.13 | $1,096.48 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $891.25 Typical High $977.24 | Professional | 54 · Surgery only | $812.83 | $891.25 | $977.24 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $691.83 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $630.96 | $691.83 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,584.89 | Facility | None | $1,047.13 | $1,174.90 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $812.83 | Professional | None | $588.84 | $724.44 | $812.83 |
Moda Health Setting Facility Modifier None Typical Low $457.09 Median $1,071.52 Typical High $5,495.41 | Facility | None | $457.09 | $1,071.52 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $676.08 Median $1,071.52 Typical High $1,258.93 | Professional | None | $676.08 | $1,071.52 | $1,258.93 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $512.86 | $794.33 | $794.33 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $478.63 | $741.31 | $741.31 |
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 $794.33 Median $977.24 Typical High $977.24 | Facility | None | $794.33 | $977.24 | $977.24 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,230.27 | Professional | None | $977.24 | $977.24 | $1,230.27 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,388.44 Median $4,897.79 Typical High $6,309.57 | Facility | None | $3,388.44 | $4,897.79 | $6,309.57 |
Regence BlueShield Setting Professional Modifier None Typical Low $912.01 Median $1,071.52 Typical High $1,258.93 | Professional | None | $912.01 | $1,071.52 | $1,258.93 |
Select Health Setting Facility Modifier None Typical Low $457.09 Median $467.74 Typical High $3,630.78 | Facility | None | $457.09 | $467.74 | $3,630.78 |
Select Health Setting Professional Modifier None Typical Low $457.09 Median $524.81 Typical High $1,071.52 | Professional | None | $457.09 | $524.81 | $1,071.52 |
United Setting Facility Modifier None Typical Low $549.54 Median $676.08 Typical High $954.99 | Facility | None | $549.54 | $676.08 | $954.99 |
United Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $1,071.52 | Professional | None | $537.03 | $741.31 | $1,071.52 |
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 $1,949.84 Median $3,388.44 Typical High $7,585.78 | Facility | 50 · Both sides | $1,949.84 | $3,388.44 | $7,585.78 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $1,348.96 Median $1,513.56 Typical High $1,621.81 | Professional | 50 · Both sides | $1,348.96 | $1,513.56 | $1,621.81 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $100.00 Typical High $109.65 | Professional | 55 · Aftercare only | $89.13 | $100.00 | $109.65 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $562.34 Median $630.96 Typical High $676.08 | Professional | 62 · Two surgeons | $562.34 | $630.96 | $676.08 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,071.52 Median $1,202.26 Typical High $1,288.25 | Professional | 63 · Small infant | $1,071.52 | $1,202.26 | $1,288.25 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $141.25 Median $158.49 Typical High $173.78 | Professional | 80 · Assistant surgeon | $141.25 | $158.49 | $173.78 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $141.25 Median $158.49 Typical High $173.78 | Professional | 81 · Minimal assistant surgeon | $141.25 | $158.49 | $173.78 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $141.25 Median $158.49 Typical High $173.78 | Professional | 82 · Assistant surgeon, no resident | $141.25 | $158.49 | $173.78 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $120.23 Median $134.90 Typical High $147.91 | Professional | AS · PA/NP assist | $120.23 | $134.90 | $147.91 |
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· 9th of 51
$1,000
AK $2,138TX $263
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.