How much rates vary
Facilitymedian $1,995 · 10th to 90th $550 to $11,749Professionalmedian $4,677 · 10th to 90th $3,020 to $8,128
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 $2,754.23 Median $3,548.13 Typical High $8,128.31 | Professional | None | $2,754.23 | $3,548.13 | $8,128.31 |
BCBS Idaho Setting Facility Modifier None Typical Low $10,000.00 Median $10,964.78 Typical High $15,488.17 | Facility | None | $10,000.00 | $10,964.78 | $15,488.17 |
BCBS Idaho Setting Professional Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $5,495.41 | Professional | None | $4,365.16 | $5,128.61 | $5,495.41 |
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 $3,388.44 Median $3,981.07 Typical High $4,570.88 | Professional | None | $3,388.44 | $3,981.07 | $4,570.88 |
Moda Health Setting Facility Modifier None Typical Low $1,995.26 Median $5,495.41 Typical High $11,748.98 | Facility | None | $1,995.26 | $5,495.41 | $11,748.98 |
Moda Health Setting Professional Modifier None Typical Low $3,388.44 Median $5,128.61 Typical High $8,128.31 | Professional | None | $3,388.44 | $5,128.61 | $8,128.31 |
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 $3,981.07 Median $4,786.30 Typical High $4,786.30 | Facility | None | $3,981.07 | $4,786.30 | $4,786.30 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,897.79 | Professional | None | $4,786.30 | $4,786.30 | $4,897.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $5,128.61 Median $5,370.32 Typical High $5,623.41 | Professional | None | $5,128.61 | $5,370.32 | $5,623.41 |
Select Health Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,511.89 | Facility | None | $2,290.87 | $2,290.87 | $2,511.89 |
Select Health Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $3,388.44 | Professional | None | $2,290.87 | $2,290.87 | $3,388.44 |
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 $4,073.80 Typical High $5,888.44 | Professional | None | $2,454.71 | $4,073.80 | $5,888.44 |
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 $3,890.45 Median $4,466.84 Typical High $4,897.79 | Professional | 54 · Surgery only | $3,890.45 | $4,466.84 | $4,897.79 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $489.78 Typical High $549.54 | Professional | 55 · Aftercare only | $436.52 | $489.78 | $549.54 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $2,754.23 Median $3,090.30 Typical High $3,388.44 | Professional | 62 · Two surgeons | $2,754.23 | $3,090.30 | $3,388.44 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $5,248.07 Median $5,888.44 Typical High $6,456.54 | Professional | 63 · Small infant | $5,248.07 | $5,888.44 | $6,456.54 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,019.95 Median $3,467.37 Typical High $3,801.89 | Professional | 78 · Unplanned return to OR | $3,019.95 | $3,467.37 | $3,801.89 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $691.83 Median $794.33 Typical High $870.96 | Professional | 80 · Assistant surgeon | $691.83 | $794.33 | $870.96 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $691.83 Median $794.33 Typical High $870.96 | Professional | 81 · Minimal assistant surgeon | $691.83 | $794.33 | $870.96 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $691.83 Median $794.33 Typical High $870.96 | Professional | 82 · Assistant surgeon, no resident | $691.83 | $794.33 | $870.96 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $588.84 Median $676.08 Typical High $741.31 | Professional | AS · PA/NP assist | $588.84 | $676.08 | $741.31 |
Where Idaho sits
The same service costs 6.9 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 $22,987WA $3,314
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.