How much rates vary
Facilitymedian $4,074 · 10th to 90th $550 to $6,918Professionalmedian $2,570 · 10th to 90th $1,622 to $4,467
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 $4,677.35 Typical High $5,495.41 | Facility | None | $4,466.84 | $4,677.35 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,949.84 Typical High $4,466.84 | Professional | None | $1,445.44 | $1,949.84 | $4,466.84 |
BCBS Idaho Setting Facility Modifier None Typical Low $4,786.30 Median $5,623.41 Typical High $7,762.47 | Facility | None | $4,786.30 | $5,623.41 | $7,762.47 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,344.23 Median $2,818.38 Typical High $2,951.21 | Professional | None | $2,344.23 | $2,818.38 | $2,951.21 |
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 $1,862.09 Median $2,187.76 Typical High $2,511.89 | Professional | None | $1,862.09 | $2,187.76 | $2,511.89 |
Moda Health Setting Facility Modifier None Typical Low $1,230.27 Median $4,466.84 Typical High $6,456.54 | Facility | None | $1,230.27 | $4,466.84 | $6,456.54 |
Moda Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,818.38 Typical High $4,466.84 | Professional | None | $1,862.09 | $2,818.38 | $4,466.84 |
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 $2,089.30 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,089.30 | $2,570.40 | $2,570.40 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,630.27 | Professional | None | $2,570.40 | $2,570.40 | $2,630.27 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,818.38 Median $2,951.21 Typical High $3,090.30 | Professional | None | $2,818.38 | $2,951.21 | $3,090.30 |
Select Health Setting Facility Modifier None Typical Low $1,230.27 Median $1,258.93 Typical High $7,585.78 | Facility | None | $1,230.27 | $1,258.93 | $7,585.78 |
Select Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,862.09 | Professional | None | $1,230.27 | $1,230.27 | $1,862.09 |
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 $1,621.81 Median $2,238.72 Typical High $3,311.31 | Professional | None | $1,621.81 | $2,238.72 | $3,311.31 |
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 $2,089.30 Median $2,454.71 Typical High $2,630.27 | Professional | 54 · Surgery only | $2,089.30 | $2,454.71 | $2,630.27 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $269.15 Typical High $288.40 | Professional | 55 · Aftercare only | $234.42 | $269.15 | $288.40 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,445.44 Median $1,698.24 Typical High $1,819.70 | Professional | 62 · Two surgeons | $1,445.44 | $1,698.24 | $1,819.70 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,818.38 Median $3,235.94 Typical High $3,467.37 | Professional | 63 · Small infant | $2,818.38 | $3,235.94 | $3,467.37 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,905.46 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,905.46 | $2,041.74 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $371.54 Median $436.52 Typical High $467.74 | Professional | 80 · Assistant surgeon | $371.54 | $436.52 | $467.74 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $371.54 Median $436.52 Typical High $467.74 | Professional | 81 · Minimal assistant surgeon | $371.54 | $436.52 | $467.74 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $371.54 Median $436.52 Typical High $467.74 | Professional | 82 · Assistant surgeon, no resident | $371.54 | $436.52 | $467.74 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $316.23 Median $371.54 Typical High $398.11 | Professional | AS · PA/NP assist | $316.23 | $371.54 | $398.11 |
Where Idaho sits
The same service costs 24.1 times more in Maine 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
ME $53,525MD $2,222
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.