How much rates vary
Facilitymedian $1,514 · 10th to 90th $224 to $4,898Professionalmedian $457 · 10th to 90th $309 to $631
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 $3,388.44 Median $4,466.84 Typical High $8,709.64 | Facility | None | $3,388.44 | $4,466.84 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $457.09 Typical High $630.96 | Professional | None | $275.42 | $457.09 | $630.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $316.23 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $194.98 | $316.23 | $446.68 |
BCBS Idaho Setting Facility Modifier None Typical Low $251.19 Median $2,089.30 Typical High $4,897.79 | Facility | None | $251.19 | $2,089.30 | $4,897.79 |
BCBS Idaho Setting Professional Modifier None Typical Low $371.54 Median $501.19 Typical High $645.65 | Professional | None | $371.54 | $501.19 | $645.65 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $389.05 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $263.03 | $389.05 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $223.87 Typical High $309.03 | Facility | None | $199.53 | $223.87 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $363.08 Typical High $501.19 | Professional | None | $295.12 | $363.08 | $501.19 |
Moda Health Setting Facility Modifier None Typical Low $275.42 Median $630.96 Typical High $5,495.41 | Facility | None | $275.42 | $630.96 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $338.84 Median $501.19 Typical High $630.96 | Professional | None | $338.84 | $501.19 | $630.96 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $316.23 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $194.98 | $316.23 | $446.68 |
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 $407.38 Median $407.38 Typical High $602.56 | Facility | None | $407.38 | $407.38 | $602.56 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $407.38 Median $512.86 Typical High $758.58 | Professional | None | $407.38 | $512.86 | $758.58 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $380.19 | $380.19 | $524.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,691.53 Median $4,073.80 Typical High $5,248.07 | Facility | None | $2,691.53 | $4,073.80 | $5,248.07 |
Regence BlueShield Setting Professional Modifier None Typical Low $446.68 Median $537.03 Typical High $741.31 | Professional | None | $446.68 | $537.03 | $741.31 |
Select Health Setting Facility Modifier None Typical Low $281.84 Median $288.40 Typical High $5,248.07 | Facility | None | $281.84 | $288.40 | $5,248.07 |
Select Health Setting Professional Modifier None Typical Low $204.17 Median $281.84 Typical High $398.11 | Professional | None | $204.17 | $281.84 | $398.11 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,819.70 Typical High $2,398.83 | Facility | None | $1,412.54 | $1,819.70 | $2,398.83 |
United Setting Professional Modifier None Typical Low $239.88 Median $371.54 Typical High $616.60 | Professional | None | $239.88 | $371.54 | $616.60 |
10 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 $380.19 Median $3,090.30 Typical High $7,244.36 | Facility | 50 · Both sides | $380.19 | $3,090.30 | $7,244.36 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $562.34 Median $660.69 Typical High $1,000.00 | Professional | 50 · Both sides | $562.34 | $660.69 | $1,000.00 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $407.38 Typical High $602.56 | Professional | 54 · Surgery only | $338.84 | $407.38 | $602.56 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $45.71 Typical High $64.57 | Professional | 55 · Aftercare only | $37.15 | $45.71 | $64.57 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $234.42 Median $281.84 Typical High $407.38 | Professional | 62 · Two surgeons | $234.42 | $281.84 | $407.38 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $446.68 Median $549.54 Typical High $741.31 | Professional | 63 · Small infant | $446.68 | $549.54 | $741.31 |
MountainHealth Co-op Setting Professional Modifier 50 · Both sides Typical Low $758.58 Median $758.58 Typical High $1,047.13 | Professional | 50 · Both sides | $758.58 | $758.58 | $1,047.13 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $489.78 | Professional | 54 · Surgery only | $354.81 | $354.81 | $489.78 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $69.18 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $69.18 |
MountainHealth Co-op Setting Professional Modifier 62 · Two surgeons Typical Low $316.23 Median $316.23 Typical High $436.52 | Professional | 62 · Two surgeons | $316.23 | $316.23 | $436.52 |
Where Idaho sits
The same service costs 5.0 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· 10th of 51
$457
AK $912TX $182
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.