How much rates vary
Facilitymedian $692 · 10th to 90th $437 to $3,802Professionalmedian $676 · 10th to 90th $479 to $1,148
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 $478.63 Median $1,148.15 Typical High $1,148.15 | Professional | None | $478.63 | $1,148.15 | $1,148.15 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,238.72 Median $2,398.83 Typical High $2,884.03 | Facility | None | $2,238.72 | $2,398.83 | $2,884.03 |
BCBS Idaho Setting Professional Modifier None Typical Low $602.56 Median $707.95 Typical High $758.58 | Professional | None | $602.56 | $707.95 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $707.95 | Professional | None | $478.63 | $602.56 | $707.95 |
Moda Health Setting Facility Modifier None Typical Low $478.63 Median $1,148.15 Typical High $5,495.41 | Facility | None | $478.63 | $1,148.15 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $501.19 Median $707.95 Typical High $1,148.15 | Professional | None | $501.19 | $707.95 | $1,148.15 |
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 $537.03 Median $660.69 Typical High $660.69 | Facility | None | $537.03 | $660.69 | $660.69 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $676.08 | Professional | None | $660.69 | $660.69 | $676.08 |
Regence BlueShield Setting Professional Modifier None Typical Low $707.95 Median $758.58 Typical High $794.33 | Professional | None | $707.95 | $758.58 | $794.33 |
Select Health Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $346.74 | Facility | None | $316.23 | $316.23 | $346.74 |
Select Health Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $467.74 | Professional | None | $316.23 | $316.23 | $467.74 |
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 $446.68 Median $851.14 Typical High $1,202.26 | Professional | None | $446.68 | $851.14 | $1,202.26 |
10 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 50 · Both sides Typical Low $891.25 Median $1,047.13 Typical High $1,122.02 | Professional | 50 · Both sides | $891.25 | $1,047.13 | $1,122.02 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $616.60 Typical High $676.08 | Professional | 54 · Surgery only | $537.03 | $616.60 | $676.08 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $69.18 Typical High $74.13 | Professional | 55 · Aftercare only | $60.26 | $69.18 | $74.13 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $371.54 Median $436.52 Typical High $467.74 | Professional | 62 · Two surgeons | $371.54 | $436.52 | $467.74 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $724.44 Median $831.76 Typical High $891.25 | Professional | 63 · Small infant | $724.44 | $831.76 | $891.25 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $489.78 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $416.87 | $489.78 | $524.81 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $95.50 Median $109.65 Typical High $120.23 | Professional | 80 · Assistant surgeon | $95.50 | $109.65 | $120.23 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $95.50 Median $109.65 Typical High $120.23 | Professional | 81 · Minimal assistant surgeon | $95.50 | $109.65 | $120.23 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $95.50 Median $109.65 Typical High $120.23 | Professional | 82 · Assistant surgeon, no resident | $95.50 | $109.65 | $120.23 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $93.33 Typical High $102.33 | Professional | AS · PA/NP assist | $81.28 | $93.33 | $102.33 |
Where Idaho sits
The same service costs 3.7 times more in Wisconsin than in New York. 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.
Idaho· 30th of 51
$676
WI $1,622NY $437
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.