How much rates vary
Facilitymedian $871 · 10th to 90th $550 to $4,677Professionalmedian $1,778 · 10th to 90th $1,096 to $2,951
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 $1,122.02 Median $2,951.21 Typical High $2,951.21 | Professional | None | $1,122.02 | $2,951.21 | $2,951.21 |
BCBS Idaho Setting Facility Modifier None Typical Low $3,311.31 Median $3,890.45 Typical High $5,370.32 | Facility | None | $3,311.31 | $3,890.45 | $5,370.32 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,659.59 Median $1,949.84 Typical High $2,041.74 | Professional | None | $1,659.59 | $1,949.84 | $2,041.74 |
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 $1,202.26 Median $1,445.44 Typical High $1,659.59 | Professional | None | $1,202.26 | $1,445.44 | $1,659.59 |
Moda Health Setting Facility Modifier None Typical Low $870.96 Median $2,951.21 Typical High $5,495.41 | Facility | None | $870.96 | $2,951.21 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,862.09 Typical High $2,951.21 | Professional | None | $1,288.25 | $1,862.09 | $2,951.21 |
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 $1,479.11 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,479.11 | $1,819.70 | $1,819.70 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,778.28 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,778.28 | $1,819.70 | $1,819.70 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,862.09 Median $1,949.84 Typical High $2,041.74 | Professional | None | $1,862.09 | $1,949.84 | $2,041.74 |
Select Health Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $933.25 | Facility | None | $870.96 | $870.96 | $933.25 |
Select Health Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,230.27 | Professional | None | $870.96 | $870.96 | $1,230.27 |
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 $977.24 Median $1,380.38 Typical High $2,137.96 | Professional | None | $977.24 | $1,380.38 | $2,137.96 |
10 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 50 · Both sides Typical Low $2,454.71 Median $2,691.53 Typical High $3,090.30 | Professional | 50 · Both sides | $2,454.71 | $2,691.53 | $3,090.30 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,621.81 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,479.11 | $1,621.81 | $1,862.09 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $177.83 Typical High $204.17 | Professional | 55 · Aftercare only | $165.96 | $177.83 | $204.17 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,023.29 Median $1,122.02 Typical High $1,288.25 | Professional | 62 · Two surgeons | $1,023.29 | $1,122.02 | $1,288.25 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,995.26 Median $2,137.96 Typical High $2,454.71 | Professional | 63 · Small infant | $1,995.26 | $2,137.96 | $2,454.71 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,258.93 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,258.93 | $1,445.44 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $263.03 Median $288.40 Typical High $331.13 | Professional | 80 · Assistant surgeon | $263.03 | $288.40 | $331.13 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $263.03 Median $288.40 Typical High $331.13 | Professional | 81 · Minimal assistant surgeon | $263.03 | $288.40 | $331.13 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $263.03 Median $288.40 Typical High $331.13 | Professional | 82 · Assistant surgeon, no resident | $263.03 | $288.40 | $331.13 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $223.87 Median $245.47 Typical High $281.84 | Professional | AS · PA/NP assist | $223.87 | $245.47 | $281.84 |
Where Idaho sits
The same service costs 4.7 times more in Alaska than in Texas. 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
$1,698
AK $3,981TX $851
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.