How much rates vary
Facilitymedian $1,023 · 10th to 90th $550 to $5,495Professionalmedian $2,138 · 10th to 90th $1,349 to $3,548
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 $1,380.38 Median $3,548.13 Typical High $3,548.13 | Professional | None | $1,380.38 | $3,548.13 | $3,548.13 |
BCBS Idaho Setting Facility Modifier None Typical Low $4,365.16 Median $4,677.35 Typical High $6,760.83 | Facility | None | $4,365.16 | $4,677.35 | $6,760.83 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,949.84 Median $2,290.87 Typical High $2,454.71 | Professional | None | $1,949.84 | $2,290.87 | $2,454.71 |
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 $1,445.44 Median $1,737.80 Typical High $1,995.26 | Professional | None | $1,445.44 | $1,737.80 | $1,995.26 |
Moda Health Setting Facility Modifier None Typical Low $1,023.29 Median $3,548.13 Typical High $5,495.41 | Facility | None | $1,023.29 | $3,548.13 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,187.76 Typical High $3,548.13 | Professional | None | $1,548.82 | $2,187.76 | $3,548.13 |
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 $1,778.28 Median $2,187.76 Typical High $2,187.76 | Facility | None | $1,778.28 | $2,187.76 | $2,187.76 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,137.96 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,137.96 | $2,187.76 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,187.76 Median $2,344.23 Typical High $2,454.71 | Professional | None | $2,187.76 | $2,344.23 | $2,454.71 |
Select Health Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,122.02 | Facility | None | $1,023.29 | $1,023.29 | $1,122.02 |
Select Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,445.44 | Professional | None | $1,023.29 | $1,023.29 | $1,445.44 |
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 $1,202.26 Median $1,778.28 Typical High $2,570.40 | Professional | None | $1,202.26 | $1,778.28 | $2,570.40 |
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 $1,737.80 Median $1,905.46 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,737.80 | $1,905.46 | $2,187.76 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $213.80 Typical High $245.47 | Professional | 55 · Aftercare only | $194.98 | $213.80 | $245.47 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,230.27 Median $1,318.26 Typical High $1,513.56 | Professional | 62 · Two surgeons | $1,230.27 | $1,318.26 | $1,513.56 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,344.23 Median $2,570.40 Typical High $2,951.21 | Professional | 63 · Small infant | $2,344.23 | $2,570.40 | $2,951.21 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,479.11 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,479.11 | $1,698.24 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $309.03 Median $338.84 Typical High $389.05 | Professional | 80 · Assistant surgeon | $309.03 | $338.84 | $389.05 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $309.03 Median $338.84 Typical High $389.05 | Professional | 81 · Minimal assistant surgeon | $309.03 | $338.84 | $389.05 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $309.03 Median $338.84 Typical High $389.05 | Professional | 82 · Assistant surgeon, no resident | $309.03 | $338.84 | $389.05 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $263.03 Median $288.40 Typical High $331.13 | Professional | AS · PA/NP assist | $263.03 | $288.40 | $331.13 |
Where Idaho sits
The same service costs 5.5 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· 15th of 51
$1,995
AK $4,677TX $851
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.