How much rates vary
Facilitymedian $2,138 · 10th to 90th $550 to $10,715Professionalmedian $4,467 · 10th to 90th $2,818 to $7,586
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 $2,818.38 Median $7,585.78 Typical High $7,585.78 | Professional | None | $2,818.38 | $7,585.78 | $7,585.78 |
BCBS Idaho Setting Facility Modifier None Typical Low $9,332.54 Median $10,000.00 Typical High $14,454.40 | Facility | None | $9,332.54 | $10,000.00 | $14,454.40 |
BCBS Idaho Setting Professional Modifier None Typical Low $4,073.80 Median $4,786.30 Typical High $5,011.87 | Professional | None | $4,073.80 | $4,786.30 | $5,011.87 |
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 $3,090.30 Median $3,715.35 Typical High $4,265.80 | Professional | None | $3,090.30 | $3,715.35 | $4,265.80 |
Moda Health Setting Facility Modifier None Typical Low $2,137.96 Median $5,495.41 Typical High $10,715.19 | Facility | None | $2,137.96 | $5,495.41 | $10,715.19 |
Moda Health Setting Professional Modifier None Typical Low $3,311.31 Median $4,677.35 Typical High $7,585.78 | Professional | None | $3,311.31 | $4,677.35 | $7,585.78 |
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 $3,630.78 Median $4,466.84 Typical High $4,466.84 | Facility | None | $3,630.78 | $4,466.84 | $4,466.84 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,570.88 | Professional | None | $4,466.84 | $4,466.84 | $4,570.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,677.35 Median $5,011.87 Typical High $5,248.07 | Professional | None | $4,677.35 | $5,011.87 | $5,248.07 |
Select Health Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,290.87 | Facility | None | $2,137.96 | $2,137.96 | $2,290.87 |
Select Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $3,090.30 | Professional | None | $2,137.96 | $2,137.96 | $3,090.30 |
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 $2,454.71 Median $3,801.89 Typical High $5,495.41 | Professional | None | $2,454.71 | $3,801.89 | $5,495.41 |
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 $3,630.78 Median $4,073.80 Typical High $4,570.88 | Professional | 54 · Surgery only | $3,630.78 | $4,073.80 | $4,570.88 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $457.09 Typical High $501.19 | Professional | 55 · Aftercare only | $407.38 | $457.09 | $501.19 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $2,511.89 Median $2,818.38 Typical High $3,162.28 | Professional | 62 · Two surgeons | $2,511.89 | $2,818.38 | $3,162.28 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $4,897.79 Median $5,495.41 Typical High $6,025.60 | Professional | 63 · Small infant | $4,897.79 | $5,495.41 | $6,025.60 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,818.38 Median $3,162.28 Typical High $3,548.13 | Professional | 78 · Unplanned return to OR | $2,818.38 | $3,162.28 | $3,548.13 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $645.65 Median $724.44 Typical High $812.83 | Professional | 80 · Assistant surgeon | $645.65 | $724.44 | $812.83 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $645.65 Median $724.44 Typical High $812.83 | Professional | 81 · Minimal assistant surgeon | $645.65 | $724.44 | $812.83 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $645.65 Median $724.44 Typical High $812.83 | Professional | 82 · Assistant surgeon, no resident | $645.65 | $724.44 | $812.83 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $549.54 Median $616.60 Typical High $691.83 | Professional | AS · PA/NP assist | $549.54 | $616.60 | $691.83 |
Where Idaho sits
The same service costs 7.1 times more in Alaska than in Washington. 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 $22,023WA $3,113
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.