How much rates vary
Facilitymedian $813 · 10th to 90th $417 to $2,512Professionalmedian $813 · 10th to 90th $525 to $1,380
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 $512.86 Median $1,380.38 Typical High $1,380.38 | Professional | None | $512.86 | $1,380.38 | $1,380.38 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,862.09 Median $2,041.74 Typical High $2,511.89 | Facility | None | $1,862.09 | $2,041.74 | $2,511.89 |
BCBS Idaho Setting Professional Modifier None Typical Low $724.44 Median $870.96 Typical High $912.01 | Professional | None | $724.44 | $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 $724.44 Typical High $794.33 | Professional | None | $575.44 | $724.44 | $794.33 |
Moda Health Setting Facility Modifier None Typical Low $389.05 Median $1,380.38 Typical High $5,495.41 | Facility | None | $389.05 | $1,380.38 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $1,380.38 | Professional | None | $602.56 | $851.14 | $1,380.38 |
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 $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $954.99 | Professional | None | $851.14 | $912.01 | $954.99 |
Select Health Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $416.87 | Facility | None | $389.05 | $389.05 | $416.87 |
Select Health Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $562.34 | Professional | None | $389.05 | $389.05 | $562.34 |
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 $724.44 Typical High $1,000.00 | Professional | None | $512.86 | $724.44 | $1,000.00 |
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 $660.69 Median $741.31 Typical High $812.83 | Professional | 54 · Surgery only | $660.69 | $741.31 | $812.83 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $83.18 Typical High $91.20 | Professional | 55 · Aftercare only | $72.44 | $83.18 | $91.20 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $457.09 Median $512.86 Typical High $562.34 | Professional | 62 · Two surgeons | $457.09 | $512.86 | $562.34 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $870.96 Median $1,000.00 Typical High $1,096.48 | Professional | 63 · Small infant | $870.96 | $1,000.00 | $1,096.48 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $575.44 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $512.86 | $575.44 | $630.96 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $131.83 Typical High $144.54 | Professional | 80 · Assistant surgeon | $117.49 | $131.83 | $144.54 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $117.49 Median $131.83 Typical High $144.54 | Professional | 81 · Minimal assistant surgeon | $117.49 | $131.83 | $144.54 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $117.49 Median $131.83 Typical High $144.54 | Professional | 82 · Assistant surgeon, no resident | $117.49 | $131.83 | $144.54 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $100.00 Median $112.20 Typical High $123.03 | Professional | AS · PA/NP assist | $100.00 | $112.20 | $123.03 |
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· 15th of 51
$813
WI $1,905NY $490
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.