How much rates vary
Facilitymedian $1,905 · 10th to 90th $550 to $10,233Professionalmedian $4,266 · 10th to 90th $2,630 to $7,244
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 $2,344.23 Median $3,162.28 Typical High $7,244.36 | Professional | None | $2,344.23 | $3,162.28 | $7,244.36 |
BCBS Idaho Setting Facility Modifier None Typical Low $8,912.51 Median $9,549.93 Typical High $13,803.84 | Facility | None | $8,912.51 | $9,549.93 | $13,803.84 |
BCBS Idaho Setting Professional Modifier None Typical Low $3,890.45 Median $4,570.88 Typical High $4,786.30 | Professional | None | $3,890.45 | $4,570.88 | $4,786.30 |
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 $2,951.21 Median $3,548.13 Typical High $4,073.80 | Professional | None | $2,951.21 | $3,548.13 | $4,073.80 |
Moda Health Setting Facility Modifier None Typical Low $1,905.46 Median $5,495.41 Typical High $10,232.93 | Facility | None | $1,905.46 | $5,495.41 | $10,232.93 |
Moda Health Setting Professional Modifier None Typical Low $3,019.95 Median $4,466.84 Typical High $7,244.36 | Professional | None | $3,019.95 | $4,466.84 | $7,244.36 |
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 $3,467.37 Median $4,265.80 Typical High $4,265.80 | Facility | None | $3,467.37 | $4,265.80 | $4,265.80 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,365.16 | Professional | None | $4,265.80 | $4,265.80 | $4,365.16 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,466.84 Median $4,786.30 Typical High $5,011.87 | Professional | None | $4,466.84 | $4,786.30 | $5,011.87 |
Select Health Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,187.76 | Facility | None | $2,041.74 | $2,041.74 | $2,187.76 |
Select Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,951.21 | Professional | None | $2,041.74 | $2,041.74 | $2,951.21 |
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 $2,238.72 Median $3,630.78 Typical High $5,248.07 | Professional | None | $2,238.72 | $3,630.78 | $5,248.07 |
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 $3,467.37 Median $3,890.45 Typical High $4,365.16 | Professional | 54 · Surgery only | $3,467.37 | $3,890.45 | $4,365.16 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $436.52 Typical High $478.63 | Professional | 55 · Aftercare only | $389.05 | $436.52 | $478.63 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $2,398.83 Median $2,754.23 Typical High $3,019.95 | Professional | 62 · Two surgeons | $2,398.83 | $2,754.23 | $3,019.95 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $4,677.35 Median $5,248.07 Typical High $5,754.40 | Professional | 63 · Small infant | $4,677.35 | $5,248.07 | $5,754.40 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,691.53 Median $3,019.95 Typical High $3,388.44 | Professional | 78 · Unplanned return to OR | $2,691.53 | $3,019.95 | $3,388.44 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $616.60 Median $691.83 Typical High $776.25 | Professional | 80 · Assistant surgeon | $616.60 | $691.83 | $776.25 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $616.60 Median $691.83 Typical High $776.25 | Professional | 81 · Minimal assistant surgeon | $616.60 | $691.83 | $776.25 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $616.60 Median $691.83 Typical High $776.25 | Professional | 82 · Assistant surgeon, no resident | $616.60 | $691.83 | $776.25 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $524.81 Median $588.84 Typical High $660.69 | Professional | AS · PA/NP assist | $524.81 | $588.84 | $660.69 |
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 $21,795WA $3,065
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.