How much rates vary
Facilitymedian $676 · 10th to 90th $355 to $1,585Professionalmedian $490 · 10th to 90th $309 to $851
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 $275.42 Median $363.08 Typical High $851.14 | Professional | None | $275.42 | $363.08 | $851.14 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,047.13 Median $1,122.02 Typical High $1,584.89 | Facility | None | $1,047.13 | $1,122.02 | $1,584.89 |
BCBS Idaho Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $549.54 | Professional | None | $436.52 | $524.81 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $478.63 | Professional | None | $346.74 | $436.52 | $478.63 |
Moda Health Setting Facility Modifier None Typical Low $234.42 Median $851.14 Typical High $5,495.41 | Facility | None | $234.42 | $851.14 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $354.81 Median $524.81 Typical High $851.14 | Professional | None | $354.81 | $524.81 | $851.14 |
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 $398.11 Median $489.78 Typical High $489.78 | Facility | None | $398.11 | $489.78 | $489.78 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $524.81 Median $549.54 Typical High $588.84 | Professional | None | $524.81 | $549.54 | $588.84 |
Select Health Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $251.19 | Facility | None | $234.42 | $234.42 | $251.19 |
Select Health Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $346.74 | Professional | None | $234.42 | $234.42 | $346.74 |
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 $295.12 Median $426.58 Typical High $616.60 | Professional | None | $295.12 | $426.58 | $616.60 |
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 $398.11 Median $457.09 Typical High $489.78 | Professional | 54 · Surgery only | $398.11 | $457.09 | $489.78 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $50.12 Typical High $54.95 | Professional | 55 · Aftercare only | $43.65 | $50.12 | $54.95 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $275.42 Median $316.23 Typical High $338.84 | Professional | 62 · Two surgeons | $275.42 | $316.23 | $338.84 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $524.81 Median $602.56 Typical High $660.69 | Professional | 63 · Small infant | $524.81 | $602.56 | $660.69 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $354.81 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $309.03 | $354.81 | $380.19 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $70.79 Median $81.28 Typical High $87.10 | Professional | 80 · Assistant surgeon | $70.79 | $81.28 | $87.10 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $70.79 Median $81.28 Typical High $87.10 | Professional | 81 · Minimal assistant surgeon | $70.79 | $81.28 | $87.10 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $70.79 Median $81.28 Typical High $87.10 | Professional | 82 · Assistant surgeon, no resident | $70.79 | $81.28 | $87.10 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $60.26 Median $69.18 Typical High $74.13 | Professional | AS · PA/NP assist | $60.26 | $69.18 | $74.13 |
Where Idaho sits
The same service costs 3.9 times more in Wisconsin than in New York. 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· 20th of 51
$490
WI $1,175NY $302
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.