How much rates vary
Facilitymedian $832 · 10th to 90th $550 to $3,802Professionalmedian $1,318 · 10th to 90th $851 to $2,291
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 $758.58 Median $1,000.00 Typical High $2,290.87 | Professional | None | $758.58 | $1,000.00 | $2,290.87 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,884.03 Median $3,019.95 Typical High $3,981.07 | Facility | None | $2,884.03 | $3,019.95 | $3,981.07 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $1,513.56 | Professional | None | $1,202.26 | $1,445.44 | $1,513.56 |
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 $954.99 Median $1,202.26 Typical High $1,288.25 | Professional | None | $954.99 | $1,202.26 | $1,288.25 |
Moda Health Setting Facility Modifier None Typical Low $645.65 Median $2,290.87 Typical High $5,495.41 | Facility | None | $645.65 | $2,290.87 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,412.54 Typical High $2,290.87 | Professional | None | $1,000.00 | $1,412.54 | $2,290.87 |
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 $1,096.48 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,096.48 | $1,348.96 | $1,348.96 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,412.54 Median $1,513.56 Typical High $1,584.89 | Professional | None | $1,412.54 | $1,513.56 | $1,584.89 |
Select Health Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $691.83 | Facility | None | $645.65 | $645.65 | $691.83 |
Select Health Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $933.25 | Professional | None | $645.65 | $645.65 | $933.25 |
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 $831.76 Median $1,122.02 Typical High $1,659.59 | Professional | None | $831.76 | $1,122.02 | $1,659.59 |
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 $1,096.48 Median $1,230.27 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,096.48 | $1,230.27 | $1,348.96 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $138.04 Typical High $151.36 | Professional | 55 · Aftercare only | $120.23 | $138.04 | $151.36 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $758.58 Median $851.14 Typical High $933.25 | Professional | 62 · Two surgeons | $758.58 | $851.14 | $933.25 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,445.44 Median $1,659.59 Typical High $1,819.70 | Professional | 63 · Small infant | $1,445.44 | $1,659.59 | $1,819.70 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $954.99 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $851.14 | $954.99 | $1,047.13 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $194.98 Median $218.78 Typical High $239.88 | Professional | 80 · Assistant surgeon | $194.98 | $218.78 | $239.88 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $194.98 Median $218.78 Typical High $239.88 | Professional | 81 · Minimal assistant surgeon | $194.98 | $218.78 | $239.88 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $194.98 Median $218.78 Typical High $239.88 | Professional | 82 · Assistant surgeon, no resident | $194.98 | $218.78 | $239.88 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $165.96 Median $186.21 Typical High $204.17 | Professional | AS · PA/NP assist | $165.96 | $186.21 | $204.17 |
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· 14th of 51
$1,230
WI $3,090NY $813
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.