How much rates vary
Facilitymedian $851 · 10th to 90th $550 to $3,981Professionalmedian $2,089 · 10th to 90th $1,380 to $3,631
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 $3,981.07 Median $4,466.84 Typical High $5,495.41 | Facility | None | $3,981.07 | $4,466.84 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $3,630.78 Typical High $3,630.78 | Professional | None | $1,380.38 | $3,630.78 | $3,630.78 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,862.09 Median $2,238.72 Typical High $2,398.83 | Professional | None | $1,862.09 | $2,238.72 | $2,398.83 |
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 $1,513.56 Median $1,778.28 Typical High $2,041.74 | Professional | None | $1,513.56 | $1,778.28 | $2,041.74 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $3,630.78 Typical High $5,495.41 | Facility | None | $1,000.00 | $3,630.78 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $3,630.78 | Professional | None | $1,513.56 | $2,238.72 | $3,630.78 |
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 $1,698.24 Median $2,089.30 Typical High $2,089.30 | Facility | None | $1,698.24 | $2,089.30 | $2,089.30 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,238.72 Median $2,398.83 Typical High $2,511.89 | Professional | None | $2,238.72 | $2,398.83 | $2,511.89 |
Select Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,096.48 | Facility | None | $1,000.00 | $1,000.00 | $1,096.48 |
Select Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,479.11 | Professional | None | $1,000.00 | $1,000.00 | $1,479.11 |
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 $1,318.26 Median $1,819.70 Typical High $2,691.53 | Professional | None | $1,318.26 | $1,819.70 | $2,691.53 |
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 $1,698.24 Median $1,995.26 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,698.24 | $1,995.26 | $2,089.30 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $218.78 Typical High $234.42 | Professional | 55 · Aftercare only | $186.21 | $218.78 | $234.42 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,174.90 Median $1,380.38 Typical High $1,479.11 | Professional | 62 · Two surgeons | $1,174.90 | $1,380.38 | $1,479.11 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,238.72 Median $2,630.27 Typical High $2,818.38 | Professional | 63 · Small infant | $2,238.72 | $2,630.27 | $2,818.38 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,548.82 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,548.82 | $1,659.59 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $302.00 Median $354.81 Typical High $371.54 | Professional | 80 · Assistant surgeon | $302.00 | $354.81 | $371.54 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $302.00 Median $354.81 Typical High $371.54 | Professional | 81 · Minimal assistant surgeon | $302.00 | $354.81 | $371.54 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $302.00 Median $354.81 Typical High $371.54 | Professional | 82 · Assistant surgeon, no resident | $302.00 | $354.81 | $371.54 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $257.04 Median $295.12 Typical High $316.23 | Professional | AS · PA/NP assist | $257.04 | $295.12 | $316.23 |
Where Idaho sits
The same service costs 27.7 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 $53,024MD $1,911
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.