How much rates vary
Facilitymedian $9,772 · 10th to 90th $2,570 to $29,512Professionalmedian $2,455 · 10th to 90th $1,585 to $2,818
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 $1,445.44 Median $2,570.40 Typical High $2,570.40 | Professional | None | $1,445.44 | $2,570.40 | $2,570.40 |
BCBS Idaho Setting Facility Modifier None Typical Low $4,168.69 Median $14,125.38 Typical High $34,673.69 | Facility | None | $4,168.69 | $14,125.38 | $34,673.69 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $2,570.40 | Professional | None | $2,089.30 | $2,454.71 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $9,549.93 Median $10,715.19 Typical High $14,454.40 | Facility | None | $9,549.93 | $10,715.19 | $14,454.40 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,778.28 Typical High $1,995.26 | Professional | None | $1,513.56 | $1,778.28 | $1,995.26 |
Moda Health Setting Facility Modifier None Typical Low $1,380.38 Median $2,570.40 Typical High $5,495.41 | Facility | None | $1,380.38 | $2,570.40 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,621.81 Median $2,570.40 Typical High $3,019.95 | Professional | None | $1,621.81 | $2,570.40 | $3,019.95 |
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 $1,819.70 Median $2,570.40 Typical High $2,570.40 | Facility | None | $1,819.70 | $2,570.40 | $2,570.40 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,019.95 | Professional | None | $2,570.40 | $2,570.40 | $3,019.95 |
Regence BlueShield Setting Facility Modifier None Typical Low $23,988.33 Median $33,884.42 Typical High $42,657.95 | Facility | None | $23,988.33 | $33,884.42 | $42,657.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,290.87 Median $2,570.40 Typical High $3,019.95 | Professional | None | $2,290.87 | $2,570.40 | $3,019.95 |
Select Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,096.48 Typical High $9,772.37 | Facility | None | $1,071.52 | $1,096.48 | $9,772.37 |
Select Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,288.25 Typical High $9,772.37 | Professional | None | $1,071.52 | $1,288.25 | $9,772.37 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,818.38 Typical High $4,265.80 | Facility | None | $1,288.25 | $2,818.38 | $4,265.80 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $2,754.23 | Professional | None | $1,348.96 | $1,862.09 | $2,754.23 |
18 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,949.84 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,230.27 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $389.05 Typical High $389.05 | Professional | 55 · Aftercare only | $245.47 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $162.18 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,819.70 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,819.70 | $1,819.70 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $6,309.57 Median $20,892.96 Typical High $54,954.09 | Facility | 50 · Both sides | $6,309.57 | $20,892.96 | $54,954.09 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $3,090.30 Median $3,630.78 Typical High $3,890.45 | Professional | 50 · Both sides | $3,090.30 | $3,630.78 | $3,890.45 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $2,137.96 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,862.09 | $2,137.96 | $2,344.23 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $239.88 Typical High $257.04 | Professional | 55 · Aftercare only | $208.93 | $239.88 | $257.04 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,511.89 Median $2,884.03 Typical High $3,090.30 | Professional | 63 · Small infant | $2,511.89 | $2,884.03 | $3,090.30 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,698.24 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,698.24 | $1,819.70 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $331.13 Median $380.19 Typical High $416.87 | Professional | 80 · Assistant surgeon | $331.13 | $380.19 | $416.87 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $331.13 Median $380.19 Typical High $416.87 | Professional | 81 · Minimal assistant surgeon | $331.13 | $380.19 | $416.87 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $331.13 Median $380.19 Typical High $416.87 | Professional | 82 · Assistant surgeon, no resident | $331.13 | $380.19 | $416.87 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $281.84 Median $323.59 Typical High $354.81 | Professional | AS · PA/NP assist | $281.84 | $323.59 | $354.81 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,949.84 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,230.27 | $1,949.84 | $1,949.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $389.05 Typical High $389.05 | Professional | 55 · Aftercare only | $245.47 | $389.05 | $389.05 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $162.18 | $257.04 | $257.04 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,819.70 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,819.70 | $1,819.70 |
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· 7th of 51
$2,570
AK $5,248TX $646
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.