How much rates vary
Facilitymedian $676 · 10th to 90th $295 to $1,622Professionalmedian $398 · 10th to 90th $263 to $708
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 $229.09 Median $323.59 Typical High $707.95 | Professional | None | $229.09 | $323.59 | $707.95 |
BCBS Idaho Setting Facility Modifier None Typical Low $870.96 Median $1,071.52 Typical High $1,230.27 | Facility | None | $870.96 | $1,071.52 | $1,230.27 |
BCBS Idaho Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $467.74 | Professional | None | $371.54 | $436.52 | $467.74 |
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 $288.40 Median $346.74 Typical High $398.11 | Professional | None | $288.40 | $346.74 | $398.11 |
Moda Health Setting Facility Modifier None Typical Low $194.98 Median $707.95 Typical High $5,495.41 | Facility | None | $194.98 | $707.95 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $295.12 Median $436.52 Typical High $707.95 | Professional | None | $295.12 | $436.52 | $707.95 |
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 $331.13 Median $407.38 Typical High $407.38 | Facility | None | $331.13 | $407.38 | $407.38 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $436.52 Median $467.74 Typical High $489.78 | Professional | None | $436.52 | $467.74 | $489.78 |
Select Health Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $208.93 | Facility | None | $194.98 | $194.98 | $208.93 |
Select Health Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $288.40 | Professional | None | $194.98 | $194.98 | $288.40 |
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 $257.04 Median $346.74 Typical High $512.86 | Professional | None | $257.04 | $346.74 | $512.86 |
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 $331.13 Median $380.19 Typical High $416.87 | Professional | 54 · Surgery only | $331.13 | $380.19 | $416.87 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $42.66 Typical High $45.71 | Professional | 55 · Aftercare only | $37.15 | $42.66 | $45.71 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $436.52 Median $512.86 Typical High $549.54 | Professional | 63 · Small infant | $436.52 | $512.86 | $549.54 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $295.12 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $257.04 | $295.12 | $323.59 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $58.88 Median $67.61 Typical High $74.13 | Professional | 80 · Assistant surgeon | $58.88 | $67.61 | $74.13 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $58.88 Median $67.61 Typical High $74.13 | Professional | 81 · Minimal assistant surgeon | $58.88 | $67.61 | $74.13 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $58.88 Median $67.61 Typical High $74.13 | Professional | 82 · Assistant surgeon, no resident | $58.88 | $67.61 | $74.13 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $50.12 Median $57.54 Typical High $61.66 | Professional | AS · PA/NP assist | $50.12 | $57.54 | $61.66 |
Where Idaho sits
The same service costs 7.3 times more in Alaska than in Montana. 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.
Physician feeFacility fee
AK $5,199MT $710
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.