How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,738 to $14,125Professionalmedian $1,738 · 10th to 90th $1,230 to $3,020
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 $1,258.93 Median $3,019.95 Typical High $3,019.95 | Professional | None | $1,258.93 | $3,019.95 | $3,019.95 |
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 $1,621.81 Median $1,905.46 Typical High $1,995.26 | Professional | None | $1,621.81 | $1,905.46 | $1,995.26 |
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 $1,230.27 Median $1,479.11 Typical High $1,698.24 | Professional | None | $1,230.27 | $1,479.11 | $1,698.24 |
Moda Health Setting Facility Modifier None Typical Low $831.76 Median $3,019.95 Typical High $4,466.84 | Facility | None | $831.76 | $3,019.95 | $4,466.84 |
Moda Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,862.09 Typical High $3,019.95 | Professional | None | $1,288.25 | $1,862.09 | $3,019.95 |
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 $1,412.54 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,412.54 | $1,737.80 | $1,737.80 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $8,511.38 | Professional | None | $1,737.80 | $1,737.80 | $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 $1,862.09 Median $1,995.26 Typical High $2,089.30 | Professional | None | $1,862.09 | $1,995.26 | $2,089.30 |
Select Health Setting Facility Modifier None Typical Low $831.76 Median $851.14 Typical High $10,715.19 | Facility | None | $831.76 | $851.14 | $10,715.19 |
Select Health Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,230.27 | Professional | None | $831.76 | $831.76 | $1,230.27 |
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 $1,096.48 Median $1,584.89 Typical High $2,398.83 | Professional | None | $1,096.48 | $1,584.89 | $2,398.83 |
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 $12,882.50 Typical High $25,118.86 | Facility | 50 · Both sides | $8,317.64 | $12,882.50 | $25,118.86 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $2,344.23 Median $2,691.53 Typical High $2,951.21 | Professional | 50 · Both sides | $2,344.23 | $2,691.53 | $2,951.21 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,621.81 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,412.54 | $1,621.81 | $1,778.28 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $181.97 Typical High $194.98 | Professional | 55 · Aftercare only | $158.49 | $181.97 | $194.98 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $977.24 Median $1,122.02 Typical High $1,230.27 | Professional | 62 · Two surgeons | $977.24 | $1,122.02 | $1,230.27 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,905.46 Median $2,187.76 Typical High $2,344.23 | Professional | 63 · Small infant | $1,905.46 | $2,187.76 | $2,344.23 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,258.93 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,258.93 | $1,380.38 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $251.19 Median $288.40 Typical High $316.23 | Professional | 80 · Assistant surgeon | $251.19 | $288.40 | $316.23 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $251.19 Median $288.40 Typical High $316.23 | Professional | 81 · Minimal assistant surgeon | $251.19 | $288.40 | $316.23 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $251.19 Median $288.40 Typical High $316.23 | Professional | 82 · Assistant surgeon, no resident | $251.19 | $288.40 | $316.23 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $213.80 Median $245.47 Typical High $269.15 | Professional | AS · PA/NP assist | $213.80 | $245.47 | $269.15 |
Where Idaho sits
The same service costs 5.1 times more in Wisconsin 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· 17th of 51
$1,995
WI $4,677TX $912
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.