How much rates vary
Facilitymedian $977 · 10th to 90th $550 to $5,495Professionalmedian $2,042 · 10th to 90th $1,288 to $3,388
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 $1,288.25 Median $3,388.44 Typical High $3,388.44 | Professional | None | $1,288.25 | $3,388.44 | $3,388.44 |
BCBS Idaho Setting Facility Modifier None Typical Low $4,168.69 Median $4,677.35 Typical High $6,456.54 | Facility | None | $4,168.69 | $4,677.35 | $6,456.54 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $2,290.87 | Professional | None | $1,862.09 | $2,187.76 | $2,290.87 |
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 $1,412.54 Median $1,659.59 Typical High $1,905.46 | Professional | None | $1,412.54 | $1,659.59 | $1,905.46 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $3,388.44 Typical High $5,495.41 | Facility | None | $977.24 | $3,388.44 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,513.56 Median $2,137.96 Typical High $3,388.44 | Professional | None | $1,513.56 | $2,137.96 | $3,388.44 |
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 $1,659.59 Median $2,041.74 Typical High $2,041.74 | Facility | None | $1,659.59 | $2,041.74 | $2,041.74 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,137.96 Median $2,290.87 Typical High $2,398.83 | Professional | None | $2,137.96 | $2,290.87 | $2,398.83 |
Select Health Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $1,047.13 | Facility | None | $977.24 | $977.24 | $1,047.13 |
Select Health Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,412.54 | Professional | None | $977.24 | $977.24 | $1,412.54 |
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 $1,148.15 Median $1,737.80 Typical High $2,454.71 | Professional | None | $1,148.15 | $1,737.80 | $2,454.71 |
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 $1,659.59 Median $1,862.09 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,659.59 | $1,862.09 | $2,089.30 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $204.17 Typical High $229.09 | Professional | 55 · Aftercare only | $186.21 | $204.17 | $229.09 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,148.15 Median $1,288.25 Typical High $1,445.44 | Professional | 62 · Two surgeons | $1,148.15 | $1,288.25 | $1,445.44 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,238.72 Median $2,454.71 Typical High $2,754.23 | Professional | 63 · Small infant | $2,238.72 | $2,454.71 | $2,754.23 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,445.44 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,445.44 | $1,621.81 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $295.12 Median $331.13 Typical High $371.54 | Professional | 80 · Assistant surgeon | $295.12 | $331.13 | $371.54 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $295.12 Median $331.13 Typical High $371.54 | Professional | 81 · Minimal assistant surgeon | $295.12 | $331.13 | $371.54 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $295.12 Median $331.13 Typical High $371.54 | Professional | 82 · Assistant surgeon, no resident | $295.12 | $331.13 | $371.54 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $251.19 Median $281.84 Typical High $316.23 | Professional | AS · PA/NP assist | $251.19 | $281.84 | $316.23 |
Where Idaho sits
The same service costs 5.6 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· 16th of 51
$1,905
AK $4,571TX $813
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.