How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,514 to $15,136Professionalmedian $2,455 · 10th to 90th $1,622 to $3,467
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 $1,621.81 Median $3,467.37 Typical High $3,467.37 | Professional | None | $1,621.81 | $3,467.37 | $3,467.37 |
BCBS Idaho Setting Facility Modifier None Typical Low $5,495.41 Median $9,332.54 Typical High $17,782.79 | Facility | None | $5,495.41 | $9,332.54 | $17,782.79 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,290.87 Median $2,691.53 Typical High $2,818.38 | Professional | None | $2,290.87 | $2,691.53 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $3,311.31 Median $3,715.35 Typical High $5,011.87 | Facility | None | $3,311.31 | $3,715.35 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $2,089.30 Typical High $2,398.83 | Professional | None | $1,778.28 | $2,089.30 | $2,398.83 |
Moda Health Setting Facility Modifier None Typical Low $1,548.82 Median $3,467.37 Typical High $5,495.41 | Facility | None | $1,548.82 | $3,467.37 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,995.26 Median $2,754.23 Typical High $3,467.37 | Professional | None | $1,995.26 | $2,754.23 | $3,467.37 |
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 $1,995.26 Median $2,454.71 Typical High $2,454.71 | Facility | None | $1,995.26 | $2,454.71 | $2,454.71 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,951.21 | Professional | None | $2,454.71 | $2,454.71 | $2,951.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,772.37 Median $14,125.38 Typical High $19,054.61 | Facility | None | $9,772.37 | $14,125.38 | $19,054.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,454.71 Median $2,818.38 Typical High $2,951.21 | Professional | None | $2,454.71 | $2,818.38 | $2,951.21 |
Select Health Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,230.27 | Facility | None | $1,174.90 | $1,174.90 | $1,230.27 |
Select Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,778.28 | Professional | None | $1,174.90 | $1,174.90 | $1,778.28 |
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 $1,445.44 Median $2,137.96 Typical High $3,019.95 | Professional | None | $1,445.44 | $2,137.96 | $3,019.95 |
21 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 52 · Reduced service Typical Low $794.33 Median $1,737.80 Typical High $1,737.80 | Professional | 52 · Reduced service | $794.33 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $691.83 Typical High $691.83 | Professional | 53 · Discontinued | $323.59 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $2,630.27 Typical High $2,630.27 | Professional | 54 · Surgery only | $1,202.26 | $2,630.27 | $2,630.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $524.81 Typical High $524.81 | Professional | 55 · Aftercare only | $239.88 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $346.74 Typical High $346.74 | Professional | 56 · Pre-op care only | $162.18 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $2,454.71 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $1,122.02 | $2,454.71 | $2,454.71 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,344.23 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,995.26 | $2,344.23 | $2,511.89 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $263.03 Typical High $275.42 | Professional | 55 · Aftercare only | $223.87 | $263.03 | $275.42 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,380.38 Median $1,621.81 Typical High $1,737.80 | Professional | 62 · Two surgeons | $1,380.38 | $1,621.81 | $1,737.80 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,630.27 Median $3,162.28 Typical High $3,311.31 | Professional | 63 · Small infant | $2,630.27 | $3,162.28 | $3,311.31 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,819.70 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,819.70 | $1,949.84 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $354.81 Median $416.87 Typical High $446.68 | Professional | 80 · Assistant surgeon | $354.81 | $416.87 | $446.68 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $354.81 Median $416.87 Typical High $446.68 | Professional | 81 · Minimal assistant surgeon | $354.81 | $416.87 | $446.68 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $354.81 Median $416.87 Typical High $446.68 | Professional | 82 · Assistant surgeon, no resident | $354.81 | $416.87 | $446.68 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $302.00 Median $354.81 Typical High $371.54 | Professional | AS · PA/NP assist | $302.00 | $354.81 | $371.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,000.00 Median $1,737.80 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,000.00 | $1,737.80 | $1,737.80 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $691.83 Typical High $691.83 | Professional | 53 · Discontinued | $398.11 | $691.83 | $691.83 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $2,630.27 Typical High $2,630.27 | Professional | 54 · Surgery only | $1,513.56 | $2,630.27 | $2,630.27 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $524.81 Typical High $524.81 | Professional | 55 · Aftercare only | $302.00 | $524.81 | $524.81 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $346.74 Typical High $346.74 | Professional | 56 · Pre-op care only | $199.53 | $346.74 | $346.74 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $2,454.71 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $1,412.54 | $2,454.71 | $2,454.71 |
Where Idaho sits
The same service costs 6.5 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· 14th of 51
$2,570
AK $5,754TX $891
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.