How much rates vary
Facilitymedian $1,318 · 10th to 90th $550 to $6,761Professionalmedian $2,754 · 10th to 90th $1,738 to $4,677
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 $1,819.70 Median $4,677.35 Typical High $4,677.35 | Professional | None | $1,819.70 | $4,677.35 | $4,677.35 |
BCBS Idaho Setting Facility Modifier None Typical Low $5,888.44 Median $6,309.57 Typical High $8,912.51 | Facility | None | $5,888.44 | $6,309.57 | $8,912.51 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,454.71 Median $2,884.03 Typical High $3,090.30 | Professional | None | $2,454.71 | $2,884.03 | $3,090.30 |
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 $1,737.80 Median $2,290.87 Typical High $2,630.27 | Professional | None | $1,737.80 | $2,290.87 | $2,630.27 |
Moda Health Setting Facility Modifier None Typical Low $1,318.26 Median $4,677.35 Typical High $6,760.83 | Facility | None | $1,318.26 | $4,677.35 | $6,760.83 |
Moda Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,884.03 Typical High $4,677.35 | Professional | None | $2,041.74 | $2,884.03 | $4,677.35 |
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 $2,238.72 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,238.72 | $2,754.23 | $2,754.23 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,884.03 Median $3,090.30 Typical High $3,235.94 | Professional | None | $2,884.03 | $3,090.30 | $3,235.94 |
Select Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,412.54 | Facility | None | $1,318.26 | $1,318.26 | $1,412.54 |
Select Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,905.46 | Professional | None | $1,318.26 | $1,318.26 | $1,905.46 |
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 $1,318.26 Median $2,398.83 Typical High $3,388.44 | Professional | None | $1,318.26 | $2,398.83 | $3,388.44 |
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 $2,238.72 Median $2,511.89 Typical High $2,754.23 | Professional | 54 · Surgery only | $2,238.72 | $2,511.89 | $2,754.23 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $281.84 Typical High $309.03 | Professional | 55 · Aftercare only | $245.47 | $281.84 | $309.03 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,951.21 Median $3,388.44 Typical High $3,715.35 | Professional | 63 · Small infant | $2,951.21 | $3,388.44 | $3,715.35 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $1,949.84 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,737.80 | $1,949.84 | $2,137.96 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $398.11 Median $446.68 Typical High $489.78 | Professional | 80 · Assistant surgeon | $398.11 | $446.68 | $489.78 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $398.11 Median $446.68 Typical High $489.78 | Professional | 81 · Minimal assistant surgeon | $398.11 | $446.68 | $489.78 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $398.11 Median $446.68 Typical High $489.78 | Professional | 82 · Assistant surgeon, no resident | $398.11 | $446.68 | $489.78 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $331.13 Median $380.19 Typical High $416.87 | Professional | AS · PA/NP assist | $331.13 | $380.19 | $416.87 |
Where Idaho sits
The same service costs 4.7 times more in Alaska than in Delaware. 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· 13th of 51
$2,630
AK $6,166DE $1,318
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.