How much rates vary
Facilitymedian $1,698 · 10th to 90th $832 to $7,244Professionalmedian $759 · 10th to 90th $513 to $891
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 $1,000.00 Median $2,884.03 Typical High $7,762.47 | Facility | None | $1,000.00 | $2,884.03 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $831.76 Typical High $831.76 | Professional | None | $446.68 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $398.11 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $371.54 | $588.84 | $588.84 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,659.59 Median $2,137.96 Typical High $7,413.10 | Facility | None | $1,659.59 | $2,137.96 | $7,413.10 |
BCBS Idaho Setting Professional Modifier None Typical Low $691.83 Median $812.83 Typical High $851.14 | Professional | None | $691.83 | $812.83 | $851.14 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $691.83 Typical High $758.58 | Professional | 54 · Surgery only | $630.96 | $691.83 | $758.58 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $549.54 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $489.78 | $549.54 | $588.84 |
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 $489.78 Median $562.34 Typical High $645.65 | Professional | None | $489.78 | $562.34 | $645.65 |
Moda Health Setting Facility Modifier None Typical Low $524.81 Median $1,000.00 Typical High $5,495.41 | Facility | None | $524.81 | $1,000.00 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $524.81 Median $831.76 Typical High $977.24 | Professional | None | $524.81 | $831.76 | $977.24 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $398.11 | $630.96 | $630.96 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $371.54 | $588.84 | $588.84 |
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 $616.60 Median $758.58 Typical High $758.58 | Facility | None | $616.60 | $758.58 | $758.58 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $954.99 | Professional | None | $758.58 | $758.58 | $954.99 |
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 $741.31 Median $831.76 Typical High $977.24 | Professional | None | $741.31 | $831.76 | $977.24 |
Select Health Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $380.19 | Facility | None | $354.81 | $354.81 | $380.19 |
Select Health Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $1,412.54 | Professional | None | $354.81 | $407.38 | $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 $457.09 Median $602.56 Typical High $891.25 | Professional | None | $457.09 | $602.56 | $891.25 |
8 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 $3,235.94 Typical High $11,220.18 | Facility | 50 · Both sides | $2,511.89 | $3,235.94 | $11,220.18 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $1,047.13 Median $1,174.90 Typical High $1,258.93 | Professional | 50 · Both sides | $1,047.13 | $1,174.90 | $1,258.93 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $77.62 Typical High $85.11 | Professional | 55 · Aftercare only | $69.18 | $77.62 | $85.11 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $831.76 Median $933.25 Typical High $1,023.29 | Professional | 63 · Small infant | $831.76 | $933.25 | $1,023.29 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $112.20 Median $123.03 Typical High $134.90 | Professional | 80 · Assistant surgeon | $112.20 | $123.03 | $134.90 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $112.20 Median $123.03 Typical High $134.90 | Professional | 81 · Minimal assistant surgeon | $112.20 | $123.03 | $134.90 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $112.20 Median $123.03 Typical High $134.90 | Professional | 82 · Assistant surgeon, no resident | $112.20 | $123.03 | $134.90 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $95.50 Median $104.71 Typical High $114.82 | Professional | AS · PA/NP assist | $95.50 | $104.71 | $114.82 |
Where Idaho sits
The same service costs 5.1 times more in Colorado than in Montana. 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
CO $6,741MT $1,322
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.