How much rates vary
Facilitymedian $20,417 · 10th to 90th $550 to $79,433Professionalmedian $550 · 10th to 90th $372 to $1,000
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 $3,981.07 Median $4,786.30 Typical High $6,918.31 | Facility | None | $3,981.07 | $4,786.30 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $1,000.00 Typical High $3,981.07 | Professional | None | $363.08 | $1,000.00 | $3,981.07 |
BCBS Idaho Setting Facility Modifier None Typical Low $35,481.34 Median $44,668.36 Typical High $87,096.36 | Facility | None | $35,481.34 | $44,668.36 | $87,096.36 |
BCBS Idaho Setting Professional Modifier None Typical Low $501.19 Median $602.56 Typical High $645.65 | Professional | None | $501.19 | $602.56 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $478.63 Typical High $549.54 | Professional | None | $407.38 | $478.63 | $549.54 |
Moda Health Setting Facility Modifier None Typical Low $416.87 Median $1,412.54 Typical High $5,495.41 | Facility | None | $416.87 | $1,412.54 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $1,000.00 | Professional | None | $436.52 | $616.60 | $1,000.00 |
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 $446.68 Median $549.54 Typical High $549.54 | Facility | None | $446.68 | $549.54 | $549.54 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $44,668.36 | Professional | None | $549.54 | $549.54 | $44,668.36 |
Regence BlueShield Setting Facility Modifier None Typical Low $54,954.09 Median $75,857.76 Typical High $95,499.26 | Facility | None | $54,954.09 | $75,857.76 | $95,499.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $616.60 Median $645.65 Typical High $691.83 | Professional | None | $616.60 | $645.65 | $691.83 |
Select Health Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $275.42 | Facility | None | $257.04 | $257.04 | $275.42 |
Select Health Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $407.38 | Professional | None | $257.04 | $257.04 | $407.38 |
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 $354.81 Median $478.63 Typical High $707.95 | Professional | None | $354.81 | $478.63 | $707.95 |
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 $436.52 Median $537.03 Typical High $549.54 | Professional | 54 · Surgery only | $436.52 | $537.03 | $549.54 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $58.88 Typical High $61.66 | Professional | 55 · Aftercare only | $48.98 | $58.88 | $61.66 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $588.84 Median $707.95 Typical High $724.44 | Professional | 63 · Small infant | $588.84 | $707.95 | $724.44 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $416.87 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $338.84 | $416.87 | $426.58 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $77.62 Median $95.50 Typical High $97.72 | Professional | 80 · Assistant surgeon | $77.62 | $95.50 | $97.72 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $77.62 Median $95.50 Typical High $97.72 | Professional | 81 · Minimal assistant surgeon | $77.62 | $95.50 | $97.72 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $77.62 Median $95.50 Typical High $97.72 | Professional | 82 · Assistant surgeon, no resident | $77.62 | $95.50 | $97.72 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $66.07 Median $81.28 Typical High $83.18 | Professional | AS · PA/NP assist | $66.07 | $81.28 | $83.18 |
Where Idaho sits
The same service costs 45.0 times more in New Mexico 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
NM $44,130MT $980
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.