How much rates vary
Facilitymedian $1,514 · 10th to 90th $550 to $7,586Professionalmedian $3,162 · 10th to 90th $1,995 to $5,248
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 $1,995.26 Median $5,248.07 Typical High $5,248.07 | Professional | None | $1,995.26 | $5,248.07 | $5,248.07 |
BCBS Idaho Setting Facility Modifier None Typical Low $6,025.60 Median $6,760.83 Typical High $10,000.00 | Facility | None | $6,025.60 | $6,760.83 | $10,000.00 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,884.03 Median $3,388.44 Typical High $3,548.13 | Professional | None | $2,884.03 | $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 $2,187.76 Median $2,570.40 Typical High $2,951.21 | Professional | None | $2,187.76 | $2,570.40 | $2,951.21 |
Moda Health Setting Facility Modifier None Typical Low $1,513.56 Median $5,248.07 Typical High $7,585.78 | Facility | None | $1,513.56 | $5,248.07 | $7,585.78 |
Moda Health Setting Professional Modifier None Typical Low $2,344.23 Median $3,311.31 Typical High $5,248.07 | Professional | None | $2,344.23 | $3,311.31 | $5,248.07 |
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 $2,570.40 Median $3,162.28 Typical High $3,162.28 | Facility | None | $2,570.40 | $3,162.28 | $3,162.28 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,235.94 | Professional | None | $3,162.28 | $3,162.28 | $3,235.94 |
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 $1,513.56 Median $1,513.56 Typical High $1,621.81 | Facility | None | $1,513.56 | $1,513.56 | $1,621.81 |
Select Health Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,187.76 | Professional | None | $1,513.56 | $1,513.56 | $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 $1,737.80 Median $2,630.27 Typical High $3,801.89 | Professional | None | $1,737.80 | $2,630.27 | $3,801.89 |
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 $2,570.40 Median $2,884.03 Typical High $3,235.94 | Professional | 54 · Surgery only | $2,570.40 | $2,884.03 | $3,235.94 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $323.59 Typical High $354.81 | Professional | 55 · Aftercare only | $288.40 | $323.59 | $354.81 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,778.28 Median $1,995.26 Typical High $2,238.72 | Professional | 62 · Two surgeons | $1,778.28 | $1,995.26 | $2,238.72 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $3,467.37 Median $3,890.45 Typical High $4,265.80 | Professional | 63 · Small infant | $3,467.37 | $3,890.45 | $4,265.80 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,995.26 Median $2,238.72 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $1,995.26 | $2,238.72 | $2,511.89 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $457.09 Median $512.86 Typical High $575.44 | Professional | 80 · Assistant surgeon | $457.09 | $512.86 | $575.44 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $457.09 Median $512.86 Typical High $575.44 | Professional | 81 · Minimal assistant surgeon | $457.09 | $512.86 | $575.44 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $457.09 Median $512.86 Typical High $575.44 | Professional | 82 · Assistant surgeon, no resident | $457.09 | $512.86 | $575.44 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $389.05 Median $436.52 Typical High $489.78 | Professional | AS · PA/NP assist | $389.05 | $436.52 | $489.78 |
Where Idaho sits
The same service costs 5.8 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
$2,951
AK $7,079TX $1,230
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.