How much rates vary
Facilitymedian $2,138 · 10th to 90th $933 to $14,125Professionalmedian $501 · 10th to 90th $240 to $4,169
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 $524.81 Median $4,466.84 Typical High $5,495.41 | Facility | None | $524.81 | $4,466.84 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $1,737.80 Typical High $4,168.69 | Professional | None | $208.93 | $1,737.80 | $4,168.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $323.59 Typical High $3,162.28 | Professional | 54 · Surgery only | $177.83 | $323.59 | $3,162.28 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,995.26 Median $3,388.44 Typical High $17,782.79 | Facility | None | $1,995.26 | $3,388.44 | $17,782.79 |
BCBS Idaho Setting Professional Modifier None Typical Low $275.42 Median $2,344.23 Typical High $3,388.44 | Professional | None | $275.42 | $2,344.23 | $3,388.44 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $302.00 Typical High $3,162.28 | Professional | 54 · Surgery only | $245.47 | $302.00 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $2,511.89 | Facility | None | $1,621.81 | $1,862.09 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $380.19 Typical High $2,951.21 | Professional | None | $245.47 | $380.19 | $2,951.21 |
Moda Health Setting Facility Modifier None Typical Low $436.52 Median $2,884.03 Typical High $5,495.41 | Facility | None | $436.52 | $2,884.03 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $239.88 Median $1,737.80 Typical High $4,168.69 | Professional | None | $239.88 | $1,737.80 | $4,168.69 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $323.59 Typical High $3,162.28 | Professional | 54 · Surgery only | $177.83 | $323.59 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $3,090.30 | Facility | None | $295.12 | $295.12 | $3,090.30 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $295.12 Median $616.60 Typical High $3,090.30 | Professional | None | $295.12 | $616.60 | $3,090.30 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,220.18 Median $16,218.10 Typical High $22,387.21 | Facility | None | $11,220.18 | $16,218.10 | $22,387.21 |
Regence BlueShield Setting Professional Modifier None Typical Low $346.74 Median $380.19 Typical High $3,311.31 | Professional | None | $346.74 | $380.19 | $3,311.31 |
Select Health Setting Facility Modifier None Typical Low $1,047.13 Median $1,479.11 Typical High $1,513.56 | Facility | None | $1,047.13 | $1,479.11 | $1,513.56 |
Select Health Setting Professional Modifier None Typical Low $186.21 Median $1,479.11 Typical High $1,995.26 | Professional | None | $186.21 | $1,479.11 | $1,995.26 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,862.09 Typical High $2,398.83 | Facility | None | $1,412.54 | $1,862.09 | $2,398.83 |
United Setting Professional Modifier None Typical Low $213.80 Median $1,584.89 Typical High $4,265.80 | Professional | None | $213.80 | $1,584.89 | $4,265.80 |
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 $3,019.95 Median $5,128.61 Typical High $26,915.35 | Facility | 50 · Both sides | $3,019.95 | $5,128.61 | $26,915.35 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $407.38 Median $4,466.84 Typical High $5,248.07 | Professional | 50 · Both sides | $407.38 | $4,466.84 | $5,248.07 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $33.11 Typical High $346.74 | Professional | 55 · Aftercare only | $27.54 | $33.11 | $346.74 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $331.13 Median $398.11 Typical High $4,073.80 | Professional | 63 · Small infant | $331.13 | $398.11 | $4,073.80 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $234.42 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $190.55 | $234.42 | $2,454.71 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $45.71 Median $457.09 Typical High $562.34 | Professional | 80 · Assistant surgeon | $45.71 | $457.09 | $562.34 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $42.66 Median $53.70 Typical High $537.03 | Professional | 81 · Minimal assistant surgeon | $42.66 | $53.70 | $537.03 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $43.65 Median $380.19 Typical High $537.03 | Professional | 82 · Assistant surgeon, no resident | $43.65 | $380.19 | $537.03 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $37.15 Median $43.65 Typical High $436.52 | Professional | AS · PA/NP assist | $37.15 | $43.65 | $436.52 |
Where Idaho sits
The same service costs 10.5 times more in Alaska than in Nebraska. 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· 13th of 51
$1,995
AK $3,715NE $355
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.