How much rates vary
Facilitymedian $955 · 10th to 90th $437 to $1,622Professionalmedian $537 · 10th to 90th $355 to $955
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 $1,412.54 Median $4,466.84 Typical High $7,079.46 | Facility | None | $1,412.54 | $4,466.84 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $954.99 Typical High $954.99 | Professional | None | $354.81 | $954.99 | $954.99 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $1,621.81 | Facility | None | $1,023.29 | $1,174.90 | $1,621.81 |
BCBS Idaho Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $630.96 | Professional | None | $489.78 | $588.84 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $549.54 | Professional | None | $398.11 | $501.19 | $549.54 |
Moda Health Setting Facility Modifier None Typical Low $257.04 Median $954.99 Typical High $5,495.41 | Facility | None | $257.04 | $954.99 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $407.38 Median $588.84 Typical High $954.99 | Professional | None | $407.38 | $588.84 | $954.99 |
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 $436.52 Median $537.03 Typical High $537.03 | Facility | None | $436.52 | $537.03 | $537.03 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $549.54 | Professional | None | $537.03 | $537.03 | $549.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $588.84 Median $630.96 Typical High $660.69 | Professional | None | $588.84 | $630.96 | $660.69 |
Select Health Setting Facility Modifier None Typical Low $257.04 Median $263.03 Typical High $1,621.81 | Facility | None | $257.04 | $263.03 | $1,621.81 |
Select Health Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $389.05 | Professional | None | $257.04 | $257.04 | $389.05 |
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 $346.74 Median $467.74 Typical High $691.83 | Professional | None | $346.74 | $467.74 | $691.83 |
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 $436.52 Median $512.86 Typical High $549.54 | Professional | 54 · Surgery only | $436.52 | $512.86 | $549.54 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $57.54 Typical High $60.26 | Professional | 55 · Aftercare only | $48.98 | $57.54 | $60.26 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $302.00 Median $354.81 Typical High $380.19 | Professional | 62 · Two surgeons | $302.00 | $354.81 | $380.19 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $588.84 Median $676.08 Typical High $724.44 | Professional | 63 · Small infant | $588.84 | $676.08 | $724.44 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $398.11 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $338.84 | $398.11 | $426.58 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $77.62 Median $91.20 Typical High $97.72 | Professional | 80 · Assistant surgeon | $77.62 | $91.20 | $97.72 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $77.62 Median $91.20 Typical High $97.72 | Professional | 81 · Minimal assistant surgeon | $77.62 | $91.20 | $97.72 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $77.62 Median $91.20 Typical High $97.72 | Professional | 82 · Assistant surgeon, no resident | $77.62 | $91.20 | $97.72 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $66.07 Median $77.62 Typical High $83.18 | Professional | AS · PA/NP assist | $66.07 | $77.62 | $83.18 |
Where Idaho sits
The same service costs 30.0 times more in Maine than in Delaware. 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 $26,760DE $893
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.