How much rates vary
Facilitymedian $1,660 · 10th to 90th $550 to $8,318Professionalmedian $3,467 · 10th to 90th $2,188 to $5,888
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 $2,238.72 Median $5,888.44 Typical High $5,888.44 | Professional | None | $2,238.72 | $5,888.44 | $5,888.44 |
BCBS Idaho Setting Facility Modifier None Typical Low $7,244.36 Median $7,762.47 Typical High $11,220.18 | Facility | None | $7,244.36 | $7,762.47 | $11,220.18 |
BCBS Idaho Setting Professional Modifier None Typical Low $3,090.30 Median $3,715.35 Typical High $3,890.45 | Professional | None | $3,090.30 | $3,715.35 | $3,890.45 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $2,818.38 Median $3,162.28 Typical High $3,467.37 | Professional | 54 · Surgery only | $2,818.38 | $3,162.28 | $3,467.37 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,454.71 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,454.71 | $2,691.53 |
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 $2,398.83 Median $2,884.03 Typical High $3,311.31 | Professional | None | $2,398.83 | $2,884.03 | $3,311.31 |
Moda Health Setting Facility Modifier None Typical Low $1,659.59 Median $5,495.41 Typical High $8,317.64 | Facility | None | $1,659.59 | $5,495.41 | $8,317.64 |
Moda Health Setting Professional Modifier None Typical Low $2,570.40 Median $3,630.78 Typical High $5,888.44 | Professional | None | $2,570.40 | $3,630.78 | $5,888.44 |
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 $2,818.38 Median $3,467.37 Typical High $3,467.37 | Facility | None | $2,818.38 | $3,467.37 | $3,467.37 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,630.78 Median $3,890.45 Typical High $4,073.80 | Professional | None | $3,630.78 | $3,890.45 | $4,073.80 |
Select Health Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,778.28 | Facility | None | $1,659.59 | $1,659.59 | $1,778.28 |
Select Health Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,398.83 | Professional | None | $1,659.59 | $1,659.59 | $2,398.83 |
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 $2,089.30 Median $2,951.21 Typical High $4,265.80 | Professional | None | $2,089.30 | $2,951.21 | $4,265.80 |
7 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 55 · Aftercare only Typical Low $309.03 Median $354.81 Typical High $389.05 | Professional | 55 · Aftercare only | $309.03 | $354.81 | $389.05 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,949.84 Median $2,187.76 Typical High $2,398.83 | Professional | 62 · Two surgeons | $1,949.84 | $2,187.76 | $2,398.83 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $3,715.35 Median $4,265.80 Typical High $4,677.35 | Professional | 63 · Small infant | $3,715.35 | $4,265.80 | $4,677.35 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $501.19 Median $562.34 Typical High $616.60 | Professional | 80 · Assistant surgeon | $501.19 | $562.34 | $616.60 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $501.19 Median $562.34 Typical High $616.60 | Professional | 81 · Minimal assistant surgeon | $501.19 | $562.34 | $616.60 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $501.19 Median $562.34 Typical High $616.60 | Professional | 82 · Assistant surgeon, no resident | $501.19 | $562.34 | $616.60 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $426.58 Median $478.63 Typical High $524.81 | Professional | AS · PA/NP assist | $426.58 | $478.63 | $524.81 |
Where Idaho sits
The same service costs 5.8 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· 15th of 51
$3,311
AK $7,762TX $1,349
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.