How much rates vary
Facilitymedian $871 · 10th to 90th $550 to $4,266Professionalmedian $1,413 · 10th to 90th $871 to $2,344
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 $870.96 Median $2,344.23 Typical High $2,344.23 | Professional | None | $870.96 | $2,344.23 | $2,344.23 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,884.03 Median $3,090.30 Typical High $4,466.84 | Facility | None | $2,884.03 | $3,090.30 | $4,466.84 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,318.26 Median $1,548.82 Typical High $1,659.59 | Professional | None | $1,318.26 | $1,548.82 | $1,659.59 |
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 $954.99 Median $1,122.02 Typical High $1,288.25 | Professional | None | $954.99 | $1,122.02 | $1,288.25 |
Moda Health Setting Facility Modifier None Typical Low $707.95 Median $2,344.23 Typical High $5,495.41 | Facility | None | $707.95 | $2,344.23 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,445.44 Typical High $2,344.23 | Professional | None | $1,023.29 | $1,445.44 | $2,344.23 |
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 $1,202.26 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,202.26 | $1,479.11 | $1,479.11 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,412.54 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,412.54 | $1,479.11 | $1,479.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,445.44 Median $1,548.82 Typical High $1,621.81 | Professional | None | $1,445.44 | $1,548.82 | $1,621.81 |
Select Health Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $758.58 | Facility | None | $707.95 | $707.95 | $758.58 |
Select Health Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $977.24 | Professional | None | $707.95 | $707.95 | $977.24 |
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 $776.25 Median $1,174.90 Typical High $1,659.59 | Professional | None | $776.25 | $1,174.90 | $1,659.59 |
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 Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,258.93 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,202.26 | $1,258.93 | $1,479.11 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $141.25 Typical High $165.96 | Professional | 55 · Aftercare only | $131.83 | $141.25 | $165.96 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $831.76 Median $891.25 Typical High $1,047.13 | Professional | 62 · Two surgeons | $831.76 | $891.25 | $1,047.13 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,584.89 Median $1,698.24 Typical High $1,995.26 | Professional | 63 · Small infant | $1,584.89 | $1,698.24 | $1,995.26 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,000.00 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $933.25 | $1,000.00 | $1,148.15 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $213.80 Median $223.87 Typical High $263.03 | Professional | 80 · Assistant surgeon | $213.80 | $223.87 | $263.03 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $213.80 Median $223.87 Typical High $263.03 | Professional | 81 · Minimal assistant surgeon | $213.80 | $223.87 | $263.03 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $213.80 Median $223.87 Typical High $263.03 | Professional | 82 · Assistant surgeon, no resident | $213.80 | $223.87 | $263.03 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $181.97 Median $190.55 Typical High $223.87 | Professional | AS · PA/NP assist | $181.97 | $190.55 | $223.87 |
Where Idaho sits
The same service costs 4.6 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· 14th of 51
$1,380
AK $3,162TX $692
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.