How much rates vary
Facilitymedian $1,318 · 10th to 90th $550 to $6,607Professionalmedian $2,754 · 10th to 90th $1,738 to $4,571
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 $1,778.28 Median $4,570.88 Typical High $4,570.88 | Professional | None | $1,778.28 | $4,570.88 | $4,570.88 |
BCBS Idaho Setting Facility Modifier None Typical Low $5,754.40 Median $6,165.95 Typical High $8,912.51 | Facility | None | $5,754.40 | $6,165.95 | $8,912.51 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,511.89 Median $2,951.21 Typical High $3,162.28 | Professional | None | $2,511.89 | $2,951.21 | $3,162.28 |
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 $1,905.46 Median $2,238.72 Typical High $2,570.40 | Professional | None | $1,905.46 | $2,238.72 | $2,570.40 |
Moda Health Setting Facility Modifier None Typical Low $1,318.26 Median $4,570.88 Typical High $6,606.93 | Facility | None | $1,318.26 | $4,570.88 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,884.03 Typical High $4,570.88 | Professional | None | $2,041.74 | $2,884.03 | $4,570.88 |
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 $2,290.87 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,290.87 | $2,818.38 | $2,818.38 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,754.23 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,754.23 | $2,818.38 | $2,818.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,884.03 Median $3,019.95 Typical High $3,235.94 | Professional | None | $2,884.03 | $3,019.95 | $3,235.94 |
Select Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,445.44 | Facility | None | $1,318.26 | $1,318.26 | $1,445.44 |
Select Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,905.46 | Professional | None | $1,318.26 | $1,318.26 | $1,905.46 |
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 $1,513.56 Median $2,344.23 Typical High $3,311.31 | Professional | None | $1,513.56 | $2,344.23 | $3,311.31 |
8 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 Professional Modifier 54 · Surgery only Typical Low $2,238.72 Median $2,511.89 Typical High $2,818.38 | Professional | 54 · Surgery only | $2,238.72 | $2,511.89 | $2,818.38 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $275.42 Typical High $316.23 | Professional | 55 · Aftercare only | $251.19 | $275.42 | $316.23 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $3,019.95 Median $3,311.31 Typical High $3,715.35 | Professional | 63 · Small infant | $3,019.95 | $3,311.31 | $3,715.35 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $1,949.84 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $1,737.80 | $1,949.84 | $2,187.76 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $398.11 Median $446.68 Typical High $501.19 | Professional | 80 · Assistant surgeon | $398.11 | $446.68 | $501.19 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $398.11 Median $446.68 Typical High $501.19 | Professional | 81 · Minimal assistant surgeon | $398.11 | $446.68 | $501.19 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $398.11 Median $446.68 Typical High $501.19 | Professional | 82 · Assistant surgeon, no resident | $398.11 | $446.68 | $501.19 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $338.84 Median $380.19 Typical High $426.58 | Professional | AS · PA/NP assist | $338.84 | $380.19 | $426.58 |
Where Idaho sits
The same service costs 5.6 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· 13th of 51
$2,570
AK $6,166TX $1,096
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.