How much rates vary
Facilitymedian $813 · 10th to 90th $427 to $2,512Professionalmedian $813 · 10th to 90th $513 to $1,413
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 $602.56 Typical High $1,412.54 | Professional | None | $457.09 | $602.56 | $1,412.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,479.11 Median $1,819.70 Typical High $2,511.89 | Facility | None | $1,479.11 | $1,819.70 | $2,511.89 |
BCBS Idaho Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $912.01 | Professional | None | $741.31 | $870.96 | $912.01 |
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 $575.44 Median $691.83 Typical High $794.33 | Professional | None | $575.44 | $691.83 | $794.33 |
Moda Health Setting Facility Modifier None Typical Low $389.05 Median $1,412.54 Typical High $5,495.41 | Facility | None | $389.05 | $1,412.54 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $602.56 Median $870.96 Typical High $1,412.54 | Professional | None | $602.56 | $870.96 | $1,412.54 |
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 $660.69 Median $812.83 Typical High $812.83 | Facility | None | $660.69 | $812.83 | $812.83 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $831.76 | Professional | None | $812.83 | $812.83 | $831.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $870.96 Median $912.01 Typical High $954.99 | Professional | None | $870.96 | $912.01 | $954.99 |
Select Health Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $426.58 | Facility | None | $389.05 | $389.05 | $426.58 |
Select Health Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $575.44 | Professional | None | $389.05 | $389.05 | $575.44 |
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 $512.86 Median $707.95 Typical High $1,023.29 | Professional | None | $512.86 | $707.95 | $1,023.29 |
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 $660.69 Median $758.58 Typical High $831.76 | Professional | 54 · Surgery only | $660.69 | $758.58 | $831.76 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $83.18 Typical High $91.20 | Professional | 55 · Aftercare only | $74.13 | $83.18 | $91.20 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $891.25 Median $1,000.00 Typical High $1,096.48 | Professional | 63 · Small infant | $891.25 | $1,000.00 | $1,096.48 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $588.84 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $512.86 | $588.84 | $645.65 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $134.90 Typical High $147.91 | Professional | 80 · Assistant surgeon | $117.49 | $134.90 | $147.91 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $117.49 Median $134.90 Typical High $147.91 | Professional | 81 · Minimal assistant surgeon | $117.49 | $134.90 | $147.91 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $117.49 Median $134.90 Typical High $147.91 | Professional | 82 · Assistant surgeon, no resident | $117.49 | $134.90 | $147.91 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $100.00 Median $114.82 Typical High $125.89 | Professional | AS · PA/NP assist | $100.00 | $114.82 | $125.89 |
Where Idaho sits
The same service costs 4.0 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· 14th of 51
$813
WI $1,905KY $479
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.