How much rates vary
Facilitymedian $1,445 · 10th to 90th $550 to $6,918Professionalmedian $3,020 · 10th to 90th $1,905 to $5,129
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 $1,949.84 Median $5,128.61 Typical High $5,128.61 | Professional | None | $1,949.84 | $5,128.61 | $5,128.61 |
BCBS Idaho Setting Facility Modifier None Typical Low $6,165.95 Median $6,606.93 Typical High $7,943.28 | Facility | None | $6,165.95 | $6,606.93 | $7,943.28 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,691.53 Median $3,235.94 Typical High $3,388.44 | Professional | None | $2,691.53 | $3,235.94 | $3,388.44 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $2,137.96 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,905.46 | $2,137.96 | $2,344.23 |
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 $2,089.30 Median $2,511.89 Typical High $2,884.03 | Professional | None | $2,089.30 | $2,511.89 | $2,884.03 |
Moda Health Setting Facility Modifier None Typical Low $1,445.44 Median $5,128.61 Typical High $7,244.36 | Facility | None | $1,445.44 | $5,128.61 | $7,244.36 |
Moda Health Setting Professional Modifier None Typical Low $2,238.72 Median $3,162.28 Typical High $5,128.61 | Professional | None | $2,238.72 | $3,162.28 | $5,128.61 |
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 $2,454.71 Median $3,019.95 Typical High $3,019.95 | Facility | None | $2,454.71 | $3,019.95 | $3,019.95 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,162.28 Median $3,388.44 Typical High $3,548.13 | Professional | None | $3,162.28 | $3,388.44 | $3,548.13 |
Select Health Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,548.82 | Facility | None | $1,445.44 | $1,445.44 | $1,548.82 |
Select Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,089.30 | Professional | None | $1,445.44 | $1,445.44 | $2,089.30 |
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 $1,862.09 Median $2,570.40 Typical High $3,715.35 | Professional | None | $1,862.09 | $2,570.40 | $3,715.35 |
8 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 $2,454.71 Median $2,754.23 Typical High $3,019.95 | Professional | 54 · Surgery only | $2,454.71 | $2,754.23 | $3,019.95 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $309.03 Typical High $338.84 | Professional | 55 · Aftercare only | $269.15 | $309.03 | $338.84 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,698.24 Median $1,905.46 Typical High $2,089.30 | Professional | 62 · Two surgeons | $1,698.24 | $1,905.46 | $2,089.30 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $3,235.94 Median $3,715.35 Typical High $4,073.80 | Professional | 63 · Small infant | $3,235.94 | $3,715.35 | $4,073.80 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $436.52 Median $489.78 Typical High $537.03 | Professional | 80 · Assistant surgeon | $436.52 | $489.78 | $537.03 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $436.52 Median $489.78 Typical High $537.03 | Professional | 81 · Minimal assistant surgeon | $436.52 | $489.78 | $537.03 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $436.52 Median $489.78 Typical High $537.03 | Professional | 82 · Assistant surgeon, no resident | $436.52 | $489.78 | $537.03 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $371.54 Median $416.87 Typical High $457.09 | Professional | AS · PA/NP assist | $371.54 | $416.87 | $457.09 |
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· 12th of 51
$2,884
AK $6,761TX $1,202
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.