How much rates vary
Facilitymedian $741 · 10th to 90th $380 to $2,239Professionalmedian $741 · 10th to 90th $468 to $1,259
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 $457.09 Median $1,258.93 Typical High $1,258.93 | Professional | None | $457.09 | $1,258.93 | $1,258.93 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $2,238.72 | Facility | None | $1,479.11 | $1,621.81 | $2,238.72 |
BCBS Idaho Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $831.76 | Professional | None | $660.69 | $776.25 | $831.76 |
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 $512.86 Median $616.60 Typical High $707.95 | Professional | None | $512.86 | $616.60 | $707.95 |
Moda Health Setting Facility Modifier None Typical Low $346.74 Median $1,258.93 Typical High $5,495.41 | Facility | None | $346.74 | $1,258.93 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $549.54 Median $776.25 Typical High $1,258.93 | Professional | None | $549.54 | $776.25 | $1,258.93 |
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 $602.56 Median $741.31 Typical High $741.31 | Facility | None | $602.56 | $741.31 | $741.31 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $776.25 Median $812.83 Typical High $870.96 | Professional | None | $776.25 | $812.83 | $870.96 |
Select Health Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $380.19 | Facility | None | $346.74 | $346.74 | $380.19 |
Select Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $512.86 | Professional | None | $346.74 | $346.74 | $512.86 |
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 $457.09 Median $630.96 Typical High $912.01 | Professional | None | $457.09 | $630.96 | $912.01 |
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 $588.84 Median $676.08 Typical High $741.31 | Professional | 54 · Surgery only | $588.84 | $676.08 | $741.31 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $74.13 Typical High $83.18 | Professional | 55 · Aftercare only | $66.07 | $74.13 | $83.18 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $794.33 Median $891.25 Typical High $1,000.00 | Professional | 63 · Small infant | $794.33 | $891.25 | $1,000.00 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $524.81 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $467.74 | $524.81 | $575.44 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $104.71 Median $120.23 Typical High $131.83 | Professional | 80 · Assistant surgeon | $104.71 | $120.23 | $131.83 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $104.71 Median $120.23 Typical High $131.83 | Professional | 81 · Minimal assistant surgeon | $104.71 | $120.23 | $131.83 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $104.71 Median $120.23 Typical High $131.83 | Professional | 82 · Assistant surgeon, no resident | $104.71 | $120.23 | $131.83 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $89.13 Median $102.33 Typical High $112.20 | Professional | AS · PA/NP assist | $89.13 | $102.33 | $112.20 |
Where Idaho sits
The same service costs 4.1 times more in Wisconsin than in Kentucky. 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
$741
WI $1,738KY $427
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.