How much rates vary
Facilitymedian $2,291 · 10th to 90th $550 to $11,482Professionalmedian $4,786 · 10th to 90th $3,020 to $7,943
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 $3,090.30 Median $7,943.28 Typical High $7,943.28 | Professional | None | $3,090.30 | $7,943.28 | $7,943.28 |
BCBS Idaho Setting Facility Modifier None Typical Low $10,000.00 Median $10,715.19 Typical High $15,488.17 | Facility | None | $10,000.00 | $10,715.19 | $15,488.17 |
BCBS Idaho Setting Professional Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $5,370.32 | Professional | None | $4,365.16 | $5,128.61 | $5,370.32 |
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 $3,311.31 Median $3,890.45 Typical High $4,466.84 | Professional | None | $3,311.31 | $3,890.45 | $4,466.84 |
Moda Health Setting Facility Modifier None Typical Low $2,290.87 Median $5,495.41 Typical High $11,481.54 | Facility | None | $2,290.87 | $5,495.41 | $11,481.54 |
Moda Health Setting Professional Modifier None Typical Low $3,467.37 Median $5,011.87 Typical High $7,943.28 | Professional | None | $3,467.37 | $5,011.87 | $7,943.28 |
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 $3,890.45 Median $4,786.30 Typical High $4,786.30 | Facility | None | $3,890.45 | $4,786.30 | $4,786.30 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,786.30 | $4,786.30 | $4,786.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $5,011.87 Median $5,248.07 Typical High $5,495.41 | Professional | None | $5,011.87 | $5,248.07 | $5,495.41 |
Select Health Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,454.71 | Facility | None | $2,290.87 | $2,290.87 | $2,454.71 |
Select Health Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $3,311.31 | Professional | None | $2,290.87 | $2,290.87 | $3,311.31 |
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 $2,691.53 Median $4,073.80 Typical High $5,754.40 | Professional | None | $2,691.53 | $4,073.80 | $5,754.40 |
8 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 $4,365.16 Typical High $4,897.79 | Professional | 54 · Surgery only | $3,890.45 | $4,365.16 | $4,897.79 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $478.63 Typical High $537.03 | Professional | 55 · Aftercare only | $436.52 | $478.63 | $537.03 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $5,128.61 Median $5,754.40 Typical High $6,456.54 | Professional | 63 · Small infant | $5,128.61 | $5,754.40 | $6,456.54 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,019.95 Median $3,388.44 Typical High $3,801.89 | Professional | 78 · Unplanned return to OR | $3,019.95 | $3,388.44 | $3,801.89 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $691.83 Median $776.25 Typical High $870.96 | Professional | 80 · Assistant surgeon | $691.83 | $776.25 | $870.96 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $691.83 Median $776.25 Typical High $870.96 | Professional | 81 · Minimal assistant surgeon | $691.83 | $776.25 | $870.96 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $691.83 Median $776.25 Typical High $870.96 | Professional | 82 · Assistant surgeon, no resident | $691.83 | $776.25 | $870.96 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $588.84 Median $660.69 Typical High $741.31 | Professional | AS · PA/NP assist | $588.84 | $660.69 | $741.31 |
Where Idaho sits
The same service costs 6.9 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
$4,467
AK $10,715TX $1,549
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.