How much rates vary
Facilitymedian $26,915 · 10th to 90th $2,291 to $77,625Professionalmedian $1,514 · 10th to 90th $933 to $2,754
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 $1,513.56 Median $3,311.31 Typical High $5,495.41 | Facility | None | $1,513.56 | $3,311.31 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $1,202.26 Typical High $3,235.94 | Professional | None | $851.14 | $1,202.26 | $3,235.94 |
BCBS Idaho Setting Facility Modifier None Typical Low $12,882.50 Median $34,673.69 Typical High $91,201.08 | Facility | None | $12,882.50 | $34,673.69 | $91,201.08 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $1,905.46 | Professional | None | $1,412.54 | $1,659.59 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $26,915.35 Median $30,199.52 Typical High $41,686.94 | Facility | None | $26,915.35 | $30,199.52 | $41,686.94 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,348.96 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,348.96 | $1,548.82 |
Moda Health Setting Facility Modifier None Typical Low $1,174.90 Median $5,495.41 Typical High $45,708.82 | Facility | None | $1,174.90 | $5,495.41 | $45,708.82 |
Moda Health Setting Professional Modifier None Typical Low $851.14 Median $1,584.89 Typical High $2,754.23 | Professional | None | $851.14 | $1,584.89 | $2,754.23 |
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 $1,230.27 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,230.27 | $1,513.56 | $1,513.56 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $51,286.14 | Professional | None | $1,513.56 | $1,513.56 | $51,286.14 |
Regence BlueShield Setting Facility Modifier None Typical Low $63,095.73 Median $85,113.80 Typical High $107,151.93 | Facility | None | $63,095.73 | $85,113.80 | $107,151.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,698.24 Median $1,778.28 Typical High $1,862.09 | Professional | None | $1,698.24 | $1,778.28 | $1,862.09 |
Select Health Setting Facility Modifier None Typical Low $724.44 Median $741.31 Typical High $17,782.79 | Facility | None | $724.44 | $741.31 | $17,782.79 |
Select Health Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $1,122.02 | Professional | None | $724.44 | $724.44 | $1,122.02 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $18,197.01 Typical High $23,442.29 | Facility | None | $2,290.87 | $18,197.01 | $23,442.29 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,318.26 Typical High $1,949.84 | Professional | None | $933.25 | $1,318.26 | $1,949.84 |
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 $1,230.27 Median $1,479.11 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,230.27 | $1,479.11 | $1,513.56 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $162.18 Typical High $169.82 | Professional | 55 · Aftercare only | $134.90 | $162.18 | $169.82 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $851.14 Median $1,023.29 Typical High $1,071.52 | Professional | 62 · Two surgeons | $851.14 | $1,023.29 | $1,071.52 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,621.81 Median $1,949.84 Typical High $2,041.74 | Professional | 63 · Small infant | $1,621.81 | $1,949.84 | $2,041.74 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,148.15 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $954.99 | $1,148.15 | $1,174.90 |
Where Idaho sits
The same service costs 19.9 times more in Alaska 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
AK $53,750MT $2,699
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.