How much rates vary
Facilitymedian $1,698 · 10th to 90th $550 to $8,913Professionalmedian $3,548 · 10th to 90th $2,291 to $6,026
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 $2,398.83 Median $6,025.60 Typical High $6,025.60 | Professional | None | $2,398.83 | $6,025.60 | $6,025.60 |
BCBS Idaho Setting Facility Modifier None Typical Low $7,413.10 Median $8,317.64 Typical High $12,022.64 | Facility | None | $7,413.10 | $8,317.64 | $12,022.64 |
BCBS Idaho Setting Professional Modifier None Typical Low $3,162.28 Median $3,801.89 Typical High $3,981.07 | Professional | None | $3,162.28 | $3,801.89 | $3,981.07 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $2,884.03 Median $3,235.94 Typical High $3,548.13 | Professional | 54 · Surgery only | $2,884.03 | $3,235.94 | $3,548.13 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,238.72 Median $2,511.89 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $2,238.72 | $2,511.89 | $2,818.38 |
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 $2,454.71 Median $2,951.21 Typical High $3,388.44 | Professional | None | $2,454.71 | $2,951.21 | $3,388.44 |
Moda Health Setting Facility Modifier None Typical Low $1,698.24 Median $5,495.41 Typical High $8,511.38 | Facility | None | $1,698.24 | $5,495.41 | $8,511.38 |
Moda Health Setting Professional Modifier None Typical Low $2,630.27 Median $3,715.35 Typical High $6,025.60 | Professional | None | $2,630.27 | $3,715.35 | $6,025.60 |
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 $2,884.03 Median $3,548.13 Typical High $3,548.13 | Facility | None | $2,884.03 | $3,548.13 | $3,548.13 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,715.35 Median $3,981.07 Typical High $4,168.69 | Professional | None | $3,715.35 | $3,981.07 | $4,168.69 |
Select Health Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,819.70 | Facility | None | $1,698.24 | $1,698.24 | $1,819.70 |
Select Health Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,454.71 | Professional | None | $1,698.24 | $1,698.24 | $2,454.71 |
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 $2,137.96 Median $3,090.30 Typical High $4,365.16 | Professional | None | $2,137.96 | $3,090.30 | $4,365.16 |
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 $316.23 Median $363.08 Typical High $398.11 | Professional | 55 · Aftercare only | $316.23 | $363.08 | $398.11 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,995.26 Median $2,238.72 Typical High $2,511.89 | Professional | 62 · Two surgeons | $1,995.26 | $2,238.72 | $2,511.89 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $3,801.89 Median $4,365.16 Typical High $4,786.30 | Professional | 63 · Small infant | $3,801.89 | $4,365.16 | $4,786.30 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $512.86 Median $575.44 Typical High $630.96 | Professional | 80 · Assistant surgeon | $512.86 | $575.44 | $630.96 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $512.86 Median $575.44 Typical High $630.96 | Professional | 81 · Minimal assistant surgeon | $512.86 | $575.44 | $630.96 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $512.86 Median $575.44 Typical High $630.96 | Professional | 82 · Assistant surgeon, no resident | $512.86 | $575.44 | $630.96 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $436.52 Median $489.78 Typical High $537.03 | Professional | AS · PA/NP assist | $436.52 | $489.78 | $537.03 |
Where Idaho sits
The same service costs 5.5 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· 14th of 51
$3,388
AK $8,128TX $1,479
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.