How much rates vary
Facilitymedian $646 · 10th to 90th $182 to $1,862Professionalmedian $501 · 10th to 90th $155 to $832
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 $4,466.84 Median $4,466.84 Typical High $5,495.41 | Facility | None | $4,466.84 | $4,466.84 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $831.76 Typical High $831.76 | Professional | None | $478.63 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $616.60 Typical High $616.60 | Professional | 54 · Surgery only | $363.08 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $72.44 | $123.03 | $123.03 |
BCBS Idaho Setting Professional Modifier None Typical Low $151.36 Median $177.83 Typical High $724.44 | Professional | None | $151.36 | $177.83 | $724.44 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $154.88 Typical High $162.18 | Professional | 54 · Surgery only | $138.04 | $154.88 | $162.18 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $16.98 Typical High $17.78 | Professional | 55 · Aftercare only | $15.14 | $16.98 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $1,380.38 Typical High $12,589.25 | Facility | None | $151.36 | $1,380.38 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $537.03 | Professional | None | $398.11 | $501.19 | $537.03 |
Moda Health Setting Facility Modifier None Typical Low $147.91 Median $831.76 Typical High $5,495.41 | Facility | None | $147.91 | $831.76 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $194.98 Median $478.63 Typical High $831.76 | Professional | None | $194.98 | $478.63 | $831.76 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $616.60 Typical High $616.60 | Professional | 54 · Surgery only | $363.08 | $616.60 | $616.60 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $72.44 | $123.03 | $123.03 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $131.83 Typical High $154.88 | Professional | None | $30.20 | $131.83 | $154.88 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $489.78 Median $602.56 Typical High $602.56 | Facility | None | $489.78 | $602.56 | $602.56 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Regence BlueShield Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $724.44 | Professional | None | $616.60 | $724.44 | $724.44 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $194.98 | Facility | None | $177.83 | $177.83 | $194.98 |
Select Health Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $257.04 | Professional | None | $177.83 | $177.83 | $257.04 |
United Setting Facility Modifier None Typical Low $436.52 Median $676.08 Typical High $870.96 | Facility | None | $436.52 | $676.08 | $870.96 |
United Setting Professional Modifier None Typical Low $269.15 Median $407.38 Typical High $691.83 | Professional | None | $269.15 | $407.38 | $691.83 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $83.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $47.86 | $83.18 | $83.18 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $95.50 Median $107.15 Typical High $112.20 | Professional | 62 · Two surgeons | $95.50 | $107.15 | $112.20 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $181.97 Median $204.17 Typical High $213.80 | Professional | 63 · Small infant | $181.97 | $204.17 | $213.80 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $120.23 Typical High $125.89 | Professional | 78 · Unplanned return to OR | $107.15 | $120.23 | $125.89 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $24.55 Median $27.54 Typical High $28.84 | Professional | 80 · Assistant surgeon | $24.55 | $27.54 | $28.84 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $24.55 Median $27.54 Typical High $28.84 | Professional | 81 · Minimal assistant surgeon | $24.55 | $27.54 | $28.84 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $24.55 Median $27.54 Typical High $28.84 | Professional | 82 · Assistant surgeon, no resident | $24.55 | $27.54 | $28.84 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $20.89 Median $23.44 Typical High $24.55 | Professional | AS · PA/NP assist | $20.89 | $23.44 | $24.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $83.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $47.86 | $83.18 | $83.18 |
Where Idaho sits
The same service costs 9.8 times more in Indiana than in Hawaii. 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· 30th of 51
$513
IN $2,344HI $240
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.