How much rates vary
Facilitymedian $1,122 · 10th to 90th $550 to $5,754Professionalmedian $2,399 · 10th to 90th $1,479 to $3,981
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 $1,513.56 Median $3,981.07 Typical High $3,981.07 | Professional | None | $1,513.56 | $3,981.07 | $3,981.07 |
BCBS Idaho Setting Facility Modifier None Typical Low $5,128.61 Median $5,370.32 Typical High $7,762.47 | Facility | None | $5,128.61 | $5,370.32 | $7,762.47 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,137.96 Median $2,511.89 Typical High $2,691.53 | Professional | None | $2,137.96 | $2,511.89 | $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 $1,621.81 Median $1,949.84 Typical High $2,238.72 | Professional | None | $1,621.81 | $1,949.84 | $2,238.72 |
Moda Health Setting Facility Modifier None Typical Low $1,122.02 Median $3,981.07 Typical High $5,623.41 | Facility | None | $1,122.02 | $3,981.07 | $5,623.41 |
Moda Health Setting Professional Modifier None Typical Low $1,737.80 Median $2,454.71 Typical High $3,981.07 | Professional | None | $1,737.80 | $2,454.71 | $3,981.07 |
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 $1,949.84 Median $2,398.83 Typical High $2,398.83 | Facility | None | $1,949.84 | $2,398.83 | $2,398.83 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,454.71 Median $2,630.27 Typical High $2,754.23 | Professional | None | $2,454.71 | $2,630.27 | $2,754.23 |
Select Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,230.27 | Facility | None | $1,122.02 | $1,122.02 | $1,230.27 |
Select Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,621.81 | Professional | None | $1,122.02 | $1,122.02 | $1,621.81 |
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 $1,380.38 Median $1,995.26 Typical High $2,884.03 | Professional | None | $1,380.38 | $1,995.26 | $2,884.03 |
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 $1,905.46 Median $2,137.96 Typical High $2,398.83 | Professional | 54 · Surgery only | $1,905.46 | $2,137.96 | $2,398.83 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $239.88 Typical High $269.15 | Professional | 55 · Aftercare only | $213.80 | $239.88 | $269.15 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,348.96 Median $1,479.11 Typical High $1,659.59 | Professional | 62 · Two surgeons | $1,348.96 | $1,479.11 | $1,659.59 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,570.40 Median $2,884.03 Typical High $3,162.28 | Professional | 63 · Small infant | $2,570.40 | $2,884.03 | $3,162.28 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,659.59 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,659.59 | $1,862.09 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $338.84 Median $380.19 Typical High $426.58 | Professional | 80 · Assistant surgeon | $338.84 | $380.19 | $426.58 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $338.84 Median $380.19 Typical High $426.58 | Professional | 81 · Minimal assistant surgeon | $338.84 | $380.19 | $426.58 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $338.84 Median $380.19 Typical High $426.58 | Professional | 82 · Assistant surgeon, no resident | $338.84 | $380.19 | $426.58 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $288.40 Median $323.59 Typical High $363.08 | Professional | AS · PA/NP assist | $288.40 | $323.59 | $363.08 |
Where Idaho sits
The same service costs 5.9 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
$2,239
AK $5,370TX $912
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.