How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,230 to $14,125Professionalmedian $1,023 · 10th to 90th $661 to $1,778
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 $776.25 Typical High $1,778.28 | Professional | None | $588.84 | $776.25 | $1,778.28 |
BCBS Idaho Setting Facility Modifier None Typical Low $5,495.41 Median $8,511.38 Typical High $16,595.87 | Facility | None | $5,495.41 | $8,511.38 | $16,595.87 |
BCBS Idaho Setting Professional Modifier None Typical Low $954.99 Median $1,122.02 Typical High $1,174.90 | Professional | None | $954.99 | $1,122.02 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $3,890.45 Typical High $5,370.32 | Facility | None | $3,467.37 | $3,890.45 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $870.96 Typical High $1,000.00 | Professional | None | $724.44 | $870.96 | $1,000.00 |
Moda Health Setting Facility Modifier None Typical Low $489.78 Median $1,778.28 Typical High $5,495.41 | Facility | None | $489.78 | $1,778.28 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $776.25 Median $1,096.48 Typical High $1,778.28 | Professional | None | $776.25 | $1,096.48 | $1,778.28 |
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 $831.76 Median $1,023.29 Typical High $1,023.29 | Facility | None | $831.76 | $1,023.29 | $1,023.29 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $8,511.38 | Professional | None | $1,023.29 | $1,023.29 | $8,511.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,332.54 Median $13,182.57 Typical High $17,782.79 | Facility | None | $9,332.54 | $13,182.57 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,096.48 Median $1,174.90 Typical High $1,230.27 | Professional | None | $1,096.48 | $1,174.90 | $1,230.27 |
Select Health Setting Facility Modifier None Typical Low $489.78 Median $501.19 Typical High $8,317.64 | Facility | None | $489.78 | $501.19 | $8,317.64 |
Select Health Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $724.44 | Professional | None | $489.78 | $489.78 | $724.44 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,818.38 Typical High $4,265.80 | Facility | None | $1,288.25 | $2,818.38 | $4,265.80 |
United Setting Professional Modifier None Typical Low $630.96 Median $912.01 Typical High $1,288.25 | Professional | None | $630.96 | $912.01 | $1,288.25 |
11 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 Facility Modifier 50 · Both sides Typical Low $8,317.64 Median $12,589.25 Typical High $25,118.86 | Facility | 50 · Both sides | $8,317.64 | $12,589.25 | $25,118.86 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $1,380.38 Median $1,584.89 Typical High $1,737.80 | Professional | 50 · Both sides | $1,380.38 | $1,584.89 | $1,737.80 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $954.99 Typical High $1,023.29 | Professional | 54 · Surgery only | $831.76 | $954.99 | $1,023.29 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $104.71 Typical High $114.82 | Professional | 55 · Aftercare only | $91.20 | $104.71 | $114.82 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $575.44 Median $660.69 Typical High $724.44 | Professional | 62 · Two surgeons | $575.44 | $660.69 | $724.44 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,096.48 Median $1,258.93 Typical High $1,380.38 | Professional | 63 · Small infant | $1,096.48 | $1,258.93 | $1,380.38 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $741.31 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $645.65 | $741.31 | $812.83 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $147.91 Median $169.82 Typical High $181.97 | Professional | 80 · Assistant surgeon | $147.91 | $169.82 | $181.97 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $147.91 Median $169.82 Typical High $181.97 | Professional | 81 · Minimal assistant surgeon | $147.91 | $169.82 | $181.97 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $147.91 Median $169.82 Typical High $181.97 | Professional | 82 · Assistant surgeon, no resident | $147.91 | $169.82 | $181.97 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $125.89 Median $144.54 Typical High $154.88 | Professional | AS · PA/NP assist | $125.89 | $144.54 | $154.88 |
Where Idaho sits
The same service costs 5.6 times more in Wisconsin 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
WI $10,313MT $1,845
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.