How much rates vary
Facilitymedian $2,692 · 10th to 90th $550 to $13,490Professionalmedian $5,495 · 10th to 90th $3,467 to $9,550
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 $3,235.94 Median $4,168.69 Typical High $9,549.93 | Professional | None | $3,235.94 | $4,168.69 | $9,549.93 |
BCBS Idaho Setting Facility Modifier None Typical Low $12,022.64 Median $12,882.50 Typical High $18,197.01 | Facility | None | $12,022.64 | $12,882.50 | $18,197.01 |
BCBS Idaho Setting Professional Modifier None Typical Low $5,128.61 Median $6,025.60 Typical High $6,456.54 | Professional | None | $5,128.61 | $6,025.60 | $6,456.54 |
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 $3,981.07 Median $4,677.35 Typical High $5,370.32 | Professional | None | $3,981.07 | $4,677.35 | $5,370.32 |
Moda Health Setting Facility Modifier None Typical Low $2,691.53 Median $5,495.41 Typical High $13,803.84 | Facility | None | $2,691.53 | $5,495.41 | $13,803.84 |
Moda Health Setting Professional Modifier None Typical Low $3,981.07 Median $5,888.44 Typical High $9,549.93 | Professional | None | $3,981.07 | $5,888.44 | $9,549.93 |
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 $4,677.35 Median $5,754.40 Typical High $5,754.40 | Facility | None | $4,677.35 | $5,754.40 | $5,754.40 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Professional | None | $5,754.40 | $5,754.40 | $5,754.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $5,888.44 Median $6,309.57 Typical High $6,606.93 | Professional | None | $5,888.44 | $6,309.57 | $6,606.93 |
Select Health Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,951.21 | Facility | None | $2,691.53 | $2,691.53 | $2,951.21 |
Select Health Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,890.45 | Professional | None | $2,691.53 | $2,691.53 | $3,890.45 |
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 $3,235.94 Median $4,786.30 Typical High $6,918.31 | Professional | None | $3,235.94 | $4,786.30 | $6,918.31 |
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 $4,570.88 Median $5,128.61 Typical High $5,754.40 | Professional | 54 · Surgery only | $4,570.88 | $5,128.61 | $5,754.40 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $512.86 Median $575.44 Typical High $645.65 | Professional | 55 · Aftercare only | $512.86 | $575.44 | $645.65 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $3,235.94 Median $3,548.13 Typical High $3,981.07 | Professional | 62 · Two surgeons | $3,235.94 | $3,548.13 | $3,981.07 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $6,165.95 Median $6,918.31 Typical High $7,762.47 | Professional | 63 · Small infant | $6,165.95 | $6,918.31 | $7,762.47 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,630.78 Median $3,981.07 Typical High $4,466.84 | Professional | 78 · Unplanned return to OR | $3,630.78 | $3,981.07 | $4,466.84 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $812.83 Median $912.01 Typical High $1,023.29 | Professional | 80 · Assistant surgeon | $812.83 | $912.01 | $1,023.29 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $812.83 Median $912.01 Typical High $1,023.29 | Professional | 81 · Minimal assistant surgeon | $812.83 | $912.01 | $1,023.29 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $812.83 Median $912.01 Typical High $1,023.29 | Professional | 82 · Assistant surgeon, no resident | $812.83 | $912.01 | $1,023.29 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $691.83 Median $776.25 Typical High $870.96 | Professional | AS · PA/NP assist | $691.83 | $776.25 | $870.96 |
Where Idaho sits
The same service costs 6.3 times more in Alaska than in Arkansas. 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· 12th of 51
$5,248
AK $12,589AR $1,995
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.