How much rates vary
Facilitymedian $3,388 · 10th to 90th $550 to $5,495Professionalmedian $1,995 · 10th to 90th $1,288 to $3,388
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 $4,786.30 Typical High $7,244.36 | Facility | None | $4,466.84 | $4,786.30 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $3,388.44 Typical High $3,388.44 | Professional | None | $1,258.93 | $3,388.44 | $3,388.44 |
BCBS Idaho Setting Facility Modifier None Typical Low $3,630.78 Median $4,168.69 Typical High $5,754.40 | Facility | None | $3,630.78 | $4,168.69 | $5,754.40 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,778.28 Median $2,137.96 Typical High $2,238.72 | Professional | None | $1,778.28 | $2,137.96 | $2,238.72 |
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 $1,412.54 Median $1,698.24 Typical High $1,949.84 | Professional | None | $1,412.54 | $1,698.24 | $1,949.84 |
Moda Health Setting Facility Modifier None Typical Low $933.25 Median $3,388.44 Typical High $5,495.41 | Facility | None | $933.25 | $3,388.44 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,479.11 Median $2,137.96 Typical High $3,388.44 | Professional | None | $1,479.11 | $2,137.96 | $3,388.44 |
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 $1,621.81 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,621.81 | $1,995.26 | $1,995.26 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,137.96 Median $2,238.72 Typical High $2,398.83 | Professional | None | $2,137.96 | $2,238.72 | $2,398.83 |
Select Health Setting Facility Modifier None Typical Low $933.25 Median $954.99 Typical High $5,754.40 | Facility | None | $933.25 | $954.99 | $5,754.40 |
Select Health Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,412.54 | Professional | None | $933.25 | $933.25 | $1,412.54 |
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 $1,230.27 Median $1,659.59 Typical High $2,511.89 | Professional | None | $1,230.27 | $1,659.59 | $2,511.89 |
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 $5,370.32 Median $6,309.57 Typical High $8,709.64 | Facility | 50 · Both sides | $5,370.32 | $6,309.57 | $8,709.64 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $2,691.53 Median $3,090.30 Typical High $3,311.31 | Professional | 50 · Both sides | $2,691.53 | $3,090.30 | $3,311.31 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,862.09 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,584.89 | $1,862.09 | $1,995.26 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $204.17 Typical High $223.87 | Professional | 55 · Aftercare only | $177.83 | $204.17 | $223.87 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,122.02 Median $1,288.25 Typical High $1,380.38 | Professional | 62 · Two surgeons | $1,122.02 | $1,288.25 | $1,380.38 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,137.96 Median $2,454.71 Typical High $2,691.53 | Professional | 63 · Small infant | $2,137.96 | $2,454.71 | $2,691.53 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,445.44 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,445.44 | $1,548.82 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $281.84 Median $331.13 Typical High $354.81 | Professional | 80 · Assistant surgeon | $281.84 | $331.13 | $354.81 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $281.84 Median $331.13 Typical High $354.81 | Professional | 81 · Minimal assistant surgeon | $281.84 | $331.13 | $354.81 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $281.84 Median $331.13 Typical High $354.81 | Professional | 82 · Assistant surgeon, no resident | $281.84 | $331.13 | $354.81 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $239.88 Median $281.84 Typical High $302.00 | Professional | AS · PA/NP assist | $239.88 | $281.84 | $302.00 |
Where Idaho sits
The same service costs 15.0 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 $27,402MD $1,821
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.