How much rates vary
Facilitymedian $832 · 10th to 90th $437 to $2,570Professionalmedian $851 · 10th to 90th $550 to $1,445
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 $537.03 Median $1,445.44 Typical High $1,445.44 | Professional | None | $537.03 | $1,445.44 | $1,445.44 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,905.46 Median $2,089.30 Typical High $2,570.40 | Facility | None | $1,905.46 | $2,089.30 | $2,570.40 |
BCBS Idaho Setting Professional Modifier None Typical Low $776.25 Median $912.01 Typical High $954.99 | Professional | None | $776.25 | $912.01 | $954.99 |
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 $602.56 Median $758.58 Typical High $831.76 | Professional | None | $602.56 | $758.58 | $831.76 |
Moda Health Setting Facility Modifier None Typical Low $407.38 Median $1,445.44 Typical High $5,495.41 | Facility | None | $407.38 | $1,445.44 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $630.96 Median $912.01 Typical High $1,445.44 | Professional | None | $630.96 | $912.01 | $1,445.44 |
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 $691.83 Median $851.14 Typical High $851.14 | Facility | None | $691.83 | $851.14 | $851.14 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Regence BlueShield Setting Professional Modifier None Typical Low $912.01 Median $954.99 Typical High $1,000.00 | Professional | None | $912.01 | $954.99 | $1,000.00 |
Select Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $436.52 | Facility | None | $407.38 | $407.38 | $436.52 |
Select Health Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $588.84 | Professional | None | $407.38 | $407.38 | $588.84 |
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 $537.03 Median $741.31 Typical High $1,071.52 | Professional | None | $537.03 | $741.31 | $1,071.52 |
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 $691.83 Median $794.33 Typical High $870.96 | Professional | 54 · Surgery only | $691.83 | $794.33 | $870.96 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $87.10 Typical High $95.50 | Professional | 55 · Aftercare only | $77.62 | $87.10 | $95.50 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $478.63 Median $549.54 Typical High $602.56 | Professional | 62 · Two surgeons | $478.63 | $549.54 | $602.56 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $912.01 Median $1,047.13 Typical High $1,148.15 | Professional | 63 · Small infant | $912.01 | $1,047.13 | $1,148.15 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $616.60 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $537.03 | $616.60 | $676.08 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $123.03 Median $141.25 Typical High $154.88 | Professional | 80 · Assistant surgeon | $123.03 | $141.25 | $154.88 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $123.03 Median $141.25 Typical High $154.88 | Professional | 81 · Minimal assistant surgeon | $123.03 | $141.25 | $154.88 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $123.03 Median $141.25 Typical High $154.88 | Professional | 82 · Assistant surgeon, no resident | $123.03 | $141.25 | $154.88 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $104.71 Median $117.49 Typical High $128.82 | Professional | AS · PA/NP assist | $104.71 | $117.49 | $128.82 |
Where Idaho sits
The same service costs 3.8 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
$851
WI $1,950NY $513
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.