How much rates vary
Facilitymedian $1,778 · 10th to 90th $550 to $9,333Professionalmedian $3,715 · 10th to 90th $2,399 to $6,310
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 $2,344.23 Median $6,309.57 Typical High $6,309.57 | Professional | None | $2,344.23 | $6,309.57 | $6,309.57 |
BCBS Idaho Setting Facility Modifier None Typical Low $7,762.47 Median $8,709.64 Typical High $12,302.69 | Facility | None | $7,762.47 | $8,709.64 | $12,302.69 |
BCBS Idaho Setting Professional Modifier None Typical Low $3,311.31 Median $3,890.45 Typical High $4,168.69 | Professional | None | $3,311.31 | $3,890.45 | $4,168.69 |
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 $2,570.40 Median $3,090.30 Typical High $3,548.13 | Professional | None | $2,570.40 | $3,090.30 | $3,548.13 |
Moda Health Setting Facility Modifier None Typical Low $1,778.28 Median $5,495.41 Typical High $8,912.51 | Facility | None | $1,778.28 | $5,495.41 | $8,912.51 |
Moda Health Setting Professional Modifier None Typical Low $2,630.27 Median $3,890.45 Typical High $6,309.57 | Professional | None | $2,630.27 | $3,890.45 | $6,309.57 |
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 $3,019.95 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,019.95 | $3,715.35 | $3,715.35 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | None | $3,715.35 | $3,715.35 | $3,715.35 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,890.45 Median $4,168.69 Typical High $4,365.16 | Professional | None | $3,890.45 | $4,168.69 | $4,365.16 |
Select Health Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,905.46 | Facility | None | $1,778.28 | $1,778.28 | $1,905.46 |
Select Health Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,570.40 | Professional | None | $1,778.28 | $1,778.28 | $2,570.40 |
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 $3,235.94 Typical High $4,570.88 | Professional | None | $2,137.96 | $3,235.94 | $4,570.88 |
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 $3,019.95 Median $3,388.44 Typical High $3,715.35 | Professional | 54 · Surgery only | $3,019.95 | $3,388.44 | $3,715.35 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $380.19 Typical High $416.87 | Professional | 55 · Aftercare only | $331.13 | $380.19 | $416.87 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $2,089.30 Median $2,344.23 Typical High $2,570.40 | Professional | 62 · Two surgeons | $2,089.30 | $2,344.23 | $2,570.40 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $3,981.07 Median $4,570.88 Typical High $5,011.87 | Professional | 63 · Small infant | $3,981.07 | $4,570.88 | $5,011.87 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,344.23 Median $2,630.27 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $2,344.23 | $2,630.27 | $2,884.03 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $537.03 Median $602.56 Typical High $660.69 | Professional | 80 · Assistant surgeon | $537.03 | $602.56 | $660.69 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $537.03 Median $602.56 Typical High $660.69 | Professional | 81 · Minimal assistant surgeon | $537.03 | $602.56 | $660.69 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $537.03 Median $602.56 Typical High $660.69 | Professional | 82 · Assistant surgeon, no resident | $537.03 | $602.56 | $660.69 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $446.68 Median $512.86 Typical High $562.34 | Professional | AS · PA/NP assist | $446.68 | $512.86 | $562.34 |
Where Idaho sits
The same service costs 5.4 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
$3,467
AK $8,318TX $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.