How much rates vary
Facilitymedian $4,786 · 10th to 90th $550 to $8,318Professionalmedian $3,090 · 10th to 90th $2,042 to $5,495
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 $2,041.74 Median $5,495.41 Typical High $5,495.41 | Professional | None | $2,041.74 | $5,495.41 | $5,495.41 |
BCBS Idaho Setting Facility Modifier None Typical Low $5,888.44 Median $6,760.83 Typical High $8,912.51 | Facility | None | $5,888.44 | $6,760.83 | $8,912.51 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,754.23 Median $3,388.44 Typical High $3,548.13 | Professional | None | $2,754.23 | $3,388.44 | $3,548.13 |
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 $2,238.72 Median $2,691.53 Typical High $3,090.30 | Professional | None | $2,238.72 | $2,691.53 | $3,090.30 |
Moda Health Setting Facility Modifier None Typical Low $1,479.11 Median $5,495.41 Typical High $7,244.36 | Facility | None | $1,479.11 | $5,495.41 | $7,244.36 |
Moda Health Setting Professional Modifier None Typical Low $2,344.23 Median $3,311.31 Typical High $5,495.41 | Professional | None | $2,344.23 | $3,311.31 | $5,495.41 |
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 $2,511.89 Median $3,090.30 Typical High $3,090.30 | Facility | None | $2,511.89 | $3,090.30 | $3,090.30 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,311.31 Median $3,548.13 Typical High $3,715.35 | Professional | None | $3,311.31 | $3,548.13 | $3,715.35 |
Select Health Setting Facility Modifier None Typical Low $1,479.11 Median $1,513.56 Typical High $9,332.54 | Facility | None | $1,479.11 | $1,513.56 | $9,332.54 |
Select Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,187.76 | Professional | None | $1,479.11 | $1,479.11 | $2,187.76 |
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 $1,949.84 Median $2,691.53 Typical High $3,981.07 | Professional | None | $1,949.84 | $2,691.53 | $3,981.07 |
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 $8,709.64 Median $10,232.93 Typical High $13,489.63 | Facility | 50 · Both sides | $8,709.64 | $10,232.93 | $13,489.63 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $4,168.69 Median $4,786.30 Typical High $5,248.07 | Professional | 50 · Both sides | $4,168.69 | $4,786.30 | $5,248.07 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $2,511.89 Median $2,884.03 Typical High $3,090.30 | Professional | 54 · Surgery only | $2,511.89 | $2,884.03 | $3,090.30 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $323.59 Typical High $346.74 | Professional | 55 · Aftercare only | $275.42 | $323.59 | $346.74 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,737.80 Median $1,995.26 Typical High $2,187.76 | Professional | 62 · Two surgeons | $1,737.80 | $1,995.26 | $2,187.76 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $3,311.31 Median $3,890.45 Typical High $4,168.69 | Professional | 63 · Small infant | $3,311.31 | $3,890.45 | $4,168.69 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,949.84 Median $2,238.72 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $1,949.84 | $2,238.72 | $2,454.71 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $446.68 Median $512.86 Typical High $549.54 | Professional | 80 · Assistant surgeon | $446.68 | $512.86 | $549.54 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $446.68 Median $512.86 Typical High $549.54 | Professional | 81 · Minimal assistant surgeon | $446.68 | $512.86 | $549.54 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $446.68 Median $512.86 Typical High $549.54 | Professional | 82 · Assistant surgeon, no resident | $446.68 | $512.86 | $549.54 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $380.19 Median $436.52 Typical High $467.74 | Professional | AS · PA/NP assist | $380.19 | $436.52 | $467.74 |
Where Idaho sits
The same service costs 11.7 times more in Maine than in Washington. 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 $28,334WA $2,413
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.