How much rates vary
Facilitymedian $8,511 · 10th to 90th $1,479 to $27,542Professionalmedian $759 · 10th to 90th $501 to $1,349
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 $4,786.30 Typical High $6,918.31 | Facility | None | $4,466.84 | $4,786.30 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $602.56 Typical High $1,348.96 | Professional | None | $446.68 | $602.56 | $1,348.96 |
BCBS Idaho Setting Facility Modifier None Typical Low $5,623.41 Median $10,471.29 Typical High $28,840.32 | Facility | None | $5,623.41 | $10,471.29 | $28,840.32 |
BCBS Idaho Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $891.25 | Professional | None | $707.95 | $831.76 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $7,943.28 Median $8,912.51 Typical High $12,302.69 | Facility | None | $7,943.28 | $8,912.51 | $12,302.69 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $758.58 | Professional | None | $562.34 | $660.69 | $758.58 |
Moda Health Setting Facility Modifier None Typical Low $512.86 Median $1,348.96 Typical High $5,495.41 | Facility | None | $512.86 | $1,348.96 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $588.84 Median $851.14 Typical High $1,348.96 | Professional | None | $588.84 | $851.14 | $1,348.96 |
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 $616.60 Median $758.58 Typical High $758.58 | Facility | None | $616.60 | $758.58 | $758.58 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $16,595.87 | Professional | None | $758.58 | $758.58 | $16,595.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $19,952.62 Median $27,542.29 Typical High $34,673.69 | Facility | None | $19,952.62 | $27,542.29 | $34,673.69 |
Regence BlueShield Setting Professional Modifier None Typical Low $851.14 Median $891.25 Typical High $933.25 | Professional | None | $851.14 | $891.25 | $933.25 |
Select Health Setting Facility Modifier None Typical Low $363.08 Median $371.54 Typical High $7,079.46 | Facility | None | $363.08 | $371.54 | $7,079.46 |
Select Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $562.34 | Professional | None | $363.08 | $363.08 | $562.34 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $5,495.41 Typical High $10,715.19 | Facility | None | $1,584.89 | $5,495.41 | $10,715.19 |
United Setting Professional Modifier None Typical Low $467.74 Median $676.08 Typical High $977.24 | Professional | None | $467.74 | $676.08 | $977.24 |
5 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 $616.60 Median $741.31 Typical High $776.25 | Professional | 54 · Surgery only | $616.60 | $741.31 | $776.25 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $81.28 Typical High $85.11 | Professional | 55 · Aftercare only | $69.18 | $81.28 | $85.11 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $426.58 Median $512.86 Typical High $537.03 | Professional | 62 · Two surgeons | $426.58 | $512.86 | $537.03 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $831.76 Median $977.24 Typical High $1,023.29 | Professional | 63 · Small infant | $831.76 | $977.24 | $1,023.29 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $575.44 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $478.63 | $575.44 | $602.56 |
Where Idaho sits
The same service costs 16.2 times more in Oklahoma than in Montana. 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.
Physician feeFacility fee
OK $21,968MT $1,353
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.