How much rates vary
Facilitymedian $1,820 · 10th to 90th $550 to $9,120Professionalmedian $3,802 · 10th to 90th $2,399 to $6,457
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 $2,454.71 Median $6,456.54 Typical High $6,456.54 | Professional | None | $2,454.71 | $6,456.54 | $6,456.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $7,943.28 Median $8,511.38 Typical High $12,302.69 | Facility | None | $7,943.28 | $8,511.38 | $12,302.69 |
BCBS Idaho Setting Professional Modifier None Typical Low $3,467.37 Median $4,073.80 Typical High $4,265.80 | Professional | None | $3,467.37 | $4,073.80 | $4,265.80 |
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 $2,691.53 Median $3,162.28 Typical High $3,630.78 | Professional | None | $2,691.53 | $3,162.28 | $3,630.78 |
Moda Health Setting Facility Modifier None Typical Low $1,584.89 Median $5,495.41 Typical High $9,120.11 | Facility | None | $1,584.89 | $5,495.41 | $9,120.11 |
Moda Health Setting Professional Modifier None Typical Low $2,818.38 Median $3,981.07 Typical High $6,456.54 | Professional | None | $2,818.38 | $3,981.07 | $6,456.54 |
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 $3,162.28 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,162.28 | $3,801.89 | $3,801.89 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,890.45 | Professional | None | $3,801.89 | $3,801.89 | $3,890.45 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,981.07 Median $4,265.80 Typical High $4,466.84 | Professional | None | $3,981.07 | $4,265.80 | $4,466.84 |
Select Health Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,995.26 | Facility | None | $1,819.70 | $1,819.70 | $1,995.26 |
Select Health Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,630.27 | Professional | None | $1,819.70 | $1,819.70 | $2,630.27 |
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 $1,905.46 Median $3,162.28 Typical High $4,677.35 | Professional | None | $1,905.46 | $3,162.28 | $4,677.35 |
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 $3,090.30 Median $3,467.37 Typical High $3,890.45 | Professional | 54 · Surgery only | $3,090.30 | $3,467.37 | $3,890.45 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $389.05 Typical High $426.58 | Professional | 55 · Aftercare only | $346.74 | $389.05 | $426.58 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $2,137.96 Median $2,454.71 Typical High $2,691.53 | Professional | 62 · Two surgeons | $2,137.96 | $2,454.71 | $2,691.53 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $4,168.69 Median $4,677.35 Typical High $5,128.61 | Professional | 63 · Small infant | $4,168.69 | $4,677.35 | $5,128.61 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,398.83 Median $2,754.23 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $2,398.83 | $2,754.23 | $3,019.95 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $549.54 Median $616.60 Typical High $691.83 | Professional | 80 · Assistant surgeon | $549.54 | $616.60 | $691.83 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $549.54 Median $616.60 Typical High $691.83 | Professional | 81 · Minimal assistant surgeon | $549.54 | $616.60 | $691.83 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $549.54 Median $616.60 Typical High $691.83 | Professional | 82 · Assistant surgeon, no resident | $549.54 | $616.60 | $691.83 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $467.74 Median $524.81 Typical High $588.84 | Professional | AS · PA/NP assist | $467.74 | $524.81 | $588.84 |
Where Idaho sits
The same service costs 5.2 times more in Alaska than in Texas. 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· 13th of 51
$3,631
AK $8,710TX $1,660
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.