How much rates vary
Facilitymedian $1,096 · 10th to 90th $550 to $5,495Professionalmedian $2,239 · 10th to 90th $1,413 to $3,715
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 $4,466.84 Typical High $5,495.41 | Facility | None | $4,466.84 | $4,466.84 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $3,715.35 Typical High $3,715.35 | Professional | None | $1,412.54 | $3,715.35 | $3,715.35 |
BCBS Idaho Setting Facility Modifier None Typical Low $4,677.35 Median $4,897.79 Typical High $7,079.46 | Facility | None | $4,677.35 | $4,897.79 | $7,079.46 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,041.74 Median $2,454.71 Typical High $2,570.40 | Professional | None | $2,041.74 | $2,454.71 | $2,570.40 |
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 $1,548.82 Median $1,819.70 Typical High $2,089.30 | Professional | None | $1,548.82 | $1,819.70 | $2,089.30 |
Moda Health Setting Facility Modifier None Typical Low $1,096.48 Median $3,715.35 Typical High $5,495.41 | Facility | None | $1,096.48 | $3,715.35 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,621.81 Median $2,344.23 Typical High $3,715.35 | Professional | None | $1,621.81 | $2,344.23 | $3,715.35 |
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 $1,862.09 Median $2,290.87 Typical High $2,290.87 | Facility | None | $1,862.09 | $2,290.87 | $2,290.87 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,238.72 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,238.72 | $2,290.87 | $2,290.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,344.23 Median $2,454.71 Typical High $2,630.27 | Professional | None | $2,344.23 | $2,454.71 | $2,630.27 |
Select Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,174.90 | Facility | None | $1,096.48 | $1,096.48 | $1,174.90 |
Select Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,548.82 | Professional | None | $1,096.48 | $1,096.48 | $1,548.82 |
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 $1,862.09 Typical High $2,691.53 | Professional | None | $1,230.27 | $1,862.09 | $2,691.53 |
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 $3,090.30 Median $3,388.44 Typical High $3,890.45 | Professional | 50 · Both sides | $3,090.30 | $3,388.44 | $3,890.45 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $2,041.74 Typical High $2,290.87 | Professional | 54 · Surgery only | $1,862.09 | $2,041.74 | $2,290.87 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $223.87 Typical High $257.04 | Professional | 55 · Aftercare only | $204.17 | $223.87 | $257.04 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,288.25 Median $1,412.54 Typical High $1,621.81 | Professional | 62 · Two surgeons | $1,288.25 | $1,412.54 | $1,621.81 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,454.71 Median $2,691.53 Typical High $3,090.30 | Professional | 63 · Small infant | $2,454.71 | $2,691.53 | $3,090.30 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,584.89 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,584.89 | $1,819.70 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $331.13 Median $363.08 Typical High $407.38 | Professional | 80 · Assistant surgeon | $331.13 | $363.08 | $407.38 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $331.13 Median $363.08 Typical High $407.38 | Professional | 81 · Minimal assistant surgeon | $331.13 | $363.08 | $407.38 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $331.13 Median $363.08 Typical High $407.38 | Professional | 82 · Assistant surgeon, no resident | $331.13 | $363.08 | $407.38 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $281.84 Median $309.03 Typical High $346.74 | Professional | AS · PA/NP assist | $281.84 | $309.03 | $346.74 |
Where Idaho sits
The same service costs 4.8 times more in Alaska than in Texas. 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· 13th of 51
$2,138
AK $5,012TX $1,047
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.