How much rates vary
Facilitymedian $676 · 10th to 90th $229 to $1,622Professionalmedian $324 · 10th to 90th $204 to $550
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 $204.17 Median $549.54 Typical High $549.54 | Professional | None | $204.17 | $549.54 | $549.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $724.44 Median $933.25 Typical High $1,047.13 | Facility | None | $724.44 | $933.25 | $1,047.13 |
BCBS Idaho Setting Professional Modifier None Typical Low $288.40 Median $338.84 Typical High $363.08 | Professional | None | $288.40 | $338.84 | $363.08 |
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 $223.87 Median $269.15 Typical High $309.03 | Professional | None | $223.87 | $269.15 | $309.03 |
Moda Health Setting Facility Modifier None Typical Low $154.88 Median $549.54 Typical High $5,495.41 | Facility | None | $154.88 | $549.54 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $239.88 Median $338.84 Typical High $549.54 | Professional | None | $239.88 | $338.84 | $549.54 |
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 $263.03 Median $323.59 Typical High $323.59 | Facility | None | $263.03 | $323.59 | $323.59 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Regence BlueShield Setting Professional Modifier None Typical Low $338.84 Median $354.81 Typical High $380.19 | Professional | None | $338.84 | $354.81 | $380.19 |
Select Health Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $165.96 | Facility | None | $154.88 | $154.88 | $165.96 |
Select Health Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $223.87 | Professional | None | $154.88 | $154.88 | $223.87 |
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 $204.17 Median $281.84 Typical High $398.11 | Professional | None | $204.17 | $281.84 | $398.11 |
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 $263.03 Median $295.12 Typical High $323.59 | Professional | 54 · Surgery only | $263.03 | $295.12 | $323.59 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $32.36 Typical High $36.31 | Professional | 55 · Aftercare only | $28.84 | $32.36 | $36.31 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $346.74 Median $389.05 Typical High $436.52 | Professional | 63 · Small infant | $346.74 | $389.05 | $436.52 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $229.09 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $204.17 | $229.09 | $251.19 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $46.77 Median $52.48 Typical High $57.54 | Professional | 80 · Assistant surgeon | $46.77 | $52.48 | $57.54 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $46.77 Median $52.48 Typical High $57.54 | Professional | 81 · Minimal assistant surgeon | $46.77 | $52.48 | $57.54 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $46.77 Median $52.48 Typical High $57.54 | Professional | 82 · Assistant surgeon, no resident | $46.77 | $52.48 | $57.54 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $38.90 Median $44.67 Typical High $48.98 | Professional | AS · PA/NP assist | $38.90 | $44.67 | $48.98 |
Where Idaho sits
The same service costs 4.3 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· 23rd of 51
$324
WI $851NY $200
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.