How much rates vary
Facilitymedian $851 · 10th to 90th $550 to $4,074Professionalmedian $1,288 · 10th to 90th $832 to $2,188
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 $831.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $831.76 | $2,187.76 | $2,187.76 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,754.23 Median $2,951.21 Typical High $4,168.69 | Facility | None | $2,754.23 | $2,951.21 | $4,168.69 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $1,445.44 | Professional | None | $1,148.15 | $1,348.96 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,230.27 | Professional | None | $912.01 | $1,148.15 | $1,230.27 |
Moda Health Setting Facility Modifier None Typical Low $616.60 Median $2,187.76 Typical High $5,495.41 | Facility | None | $616.60 | $2,187.76 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $954.99 Median $1,348.96 Typical High $2,187.76 | Professional | None | $954.99 | $1,348.96 | $2,187.76 |
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 $1,047.13 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,047.13 | $1,288.25 | $1,288.25 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,348.96 Median $1,445.44 Typical High $1,513.56 | Professional | None | $1,348.96 | $1,445.44 | $1,513.56 |
Select Health Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $660.69 | Facility | None | $616.60 | $616.60 | $660.69 |
Select Health Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $891.25 | Professional | None | $616.60 | $616.60 | $891.25 |
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 $812.83 Median $1,122.02 Typical High $1,584.89 | Professional | None | $812.83 | $1,122.02 | $1,584.89 |
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 $1,047.13 Median $1,174.90 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,047.13 | $1,174.90 | $1,288.25 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $131.83 Typical High $144.54 | Professional | 55 · Aftercare only | $114.82 | $131.83 | $144.54 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,380.38 Median $1,584.89 Typical High $1,737.80 | Professional | 63 · Small infant | $1,380.38 | $1,584.89 | $1,737.80 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $912.01 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $812.83 | $912.01 | $1,000.00 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $186.21 Median $208.93 Typical High $229.09 | Professional | 80 · Assistant surgeon | $186.21 | $208.93 | $229.09 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $186.21 Median $208.93 Typical High $229.09 | Professional | 81 · Minimal assistant surgeon | $186.21 | $208.93 | $229.09 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $186.21 Median $208.93 Typical High $229.09 | Professional | 82 · Assistant surgeon, no resident | $186.21 | $208.93 | $229.09 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $154.88 Median $177.83 Typical High $194.98 | Professional | AS · PA/NP assist | $154.88 | $177.83 | $194.98 |
Where Idaho sits
The same service costs 3.8 times more in Wisconsin than in New York. 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
$1,230
WI $2,951NY $776
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.