How much rates vary
Facilitymedian $794 · 10th to 90th $437 to $3,548Professionalmedian $794 · 10th to 90th $589 to $1,413
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 $588.84 Median $1,412.54 Typical High $1,412.54 | Professional | None | $588.84 | $1,412.54 | $1,412.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,290.87 Median $2,511.89 Typical High $3,630.78 | Facility | None | $2,290.87 | $2,511.89 | $3,630.78 |
BCBS Idaho Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $891.25 | Professional | None | $707.95 | $831.76 | $891.25 |
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 $831.76 | Professional | None | $575.44 | $724.44 | $831.76 |
Moda Health Setting Facility Modifier None Typical Low $371.54 Median $1,412.54 Typical High $5,495.41 | Facility | None | $371.54 | $1,412.54 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $616.60 Median $831.76 Typical High $1,412.54 | Professional | None | $616.60 | $831.76 | $1,412.54 |
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 $645.65 Median $794.33 Typical High $794.33 | Facility | None | $645.65 | $794.33 | $794.33 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $831.76 Median $891.25 Typical High $954.99 | Professional | None | $831.76 | $891.25 | $954.99 |
Select Health Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $407.38 | Facility | None | $371.54 | $371.54 | $407.38 |
Select Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $549.54 | Professional | None | $371.54 | $371.54 | $549.54 |
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 $660.69 Median $933.25 Typical High $1,348.96 | Professional | None | $660.69 | $933.25 | $1,348.96 |
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 $630.96 Median $724.44 Typical High $794.33 | Professional | 54 · Surgery only | $630.96 | $724.44 | $794.33 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $81.28 Typical High $89.13 | Professional | 55 · Aftercare only | $70.79 | $81.28 | $89.13 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $851.14 Median $977.24 Typical High $1,047.13 | Professional | 63 · Small infant | $851.14 | $977.24 | $1,047.13 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $562.34 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $489.78 | $562.34 | $616.60 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $112.20 Median $128.82 Typical High $141.25 | Professional | 80 · Assistant surgeon | $112.20 | $128.82 | $141.25 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $112.20 Median $128.82 Typical High $141.25 | Professional | 81 · Minimal assistant surgeon | $112.20 | $128.82 | $141.25 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $112.20 Median $128.82 Typical High $141.25 | Professional | 82 · Assistant surgeon, no resident | $112.20 | $128.82 | $141.25 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $95.50 Median $109.65 Typical High $120.23 | Professional | AS · PA/NP assist | $95.50 | $109.65 | $120.23 |
Where Idaho sits
The same service costs 13.6 times more in Colorado than in Maryland. 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
CO $15,162MD $1,112
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.