How much rates vary
Facilitymedian $832 · 10th to 90th $550 to $6,026Professionalmedian $5,754 · 10th to 90th $3,715 to $10,000
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 $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 $3,388.44 Median $4,365.16 Typical High $10,000.00 | Professional | None | $3,388.44 | $4,365.16 | $10,000.00 |
BCBS Idaho Setting Professional Modifier None Typical Low $5,370.32 Median $6,456.54 Typical High $6,760.83 | Professional | None | $5,370.32 | $6,456.54 | $6,760.83 |
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 $4,168.69 Median $4,897.79 Typical High $5,623.41 | Professional | None | $4,168.69 | $4,897.79 | $5,623.41 |
Moda Health Setting Facility Modifier None Typical Low $2,884.03 Median $5,495.41 Typical High $14,454.40 | Facility | None | $2,884.03 | $5,495.41 | $14,454.40 |
Moda Health Setting Professional Modifier None Typical Low $4,168.69 Median $6,309.57 Typical High $10,000.00 | Professional | None | $4,168.69 | $6,309.57 | $10,000.00 |
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 $4,897.79 Median $6,025.60 Typical High $6,025.60 | Facility | None | $4,897.79 | $6,025.60 | $6,025.60 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Professional | None | $6,025.60 | $6,025.60 | $6,025.60 |
Regence BlueShield Setting Professional Modifier None Typical Low $6,309.57 Median $6,606.93 Typical High $6,918.31 | Professional | None | $6,309.57 | $6,606.93 | $6,918.31 |
Select Health Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,090.30 | Facility | None | $2,884.03 | $2,884.03 | $3,090.30 |
Select Health Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $4,168.69 | Professional | None | $2,884.03 | $2,884.03 | $4,168.69 |
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 $3,630.78 Median $4,897.79 Typical High $7,413.10 | Professional | None | $3,630.78 | $4,897.79 | $7,413.10 |
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 $4,897.79 Median $5,495.41 Typical High $6,025.60 | Professional | 54 · Surgery only | $4,897.79 | $5,495.41 | $6,025.60 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $537.03 Median $602.56 Typical High $676.08 | Professional | 55 · Aftercare only | $537.03 | $602.56 | $676.08 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $3,388.44 Median $3,801.89 Typical High $4,168.69 | Professional | 62 · Two surgeons | $3,388.44 | $3,801.89 | $4,168.69 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $6,456.54 Median $7,244.36 Typical High $8,128.31 | Professional | 63 · Small infant | $6,456.54 | $7,244.36 | $8,128.31 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,801.89 Median $4,265.80 Typical High $4,677.35 | Professional | 78 · Unplanned return to OR | $3,801.89 | $4,265.80 | $4,677.35 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $870.96 Median $977.24 Typical High $1,071.52 | Professional | 80 · Assistant surgeon | $870.96 | $977.24 | $1,071.52 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $870.96 Median $977.24 Typical High $1,071.52 | Professional | 81 · Minimal assistant surgeon | $870.96 | $977.24 | $1,071.52 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $870.96 Median $977.24 Typical High $1,071.52 | Professional | 82 · Assistant surgeon, no resident | $870.96 | $977.24 | $1,071.52 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $741.31 Median $831.76 Typical High $912.01 | Professional | AS · PA/NP assist | $741.31 | $831.76 | $912.01 |
Where Idaho sits
The same service costs 7.4 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· 14th of 51
$5,248
AK $13,490AR $1,820
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.