How much rates vary
Facilitymedian $2,399 · 10th to 90th $1,514 to $9,550Professionalmedian $1,660 · 10th to 90th $1,175 to $2,818
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 $1,174.90 Median $2,818.38 Typical High $2,818.38 | Professional | None | $1,174.90 | $2,818.38 | $2,818.38 |
BCBS Idaho Setting Facility Modifier None Typical Low $3,388.44 Median $5,128.61 Typical High $9,772.37 | Facility | None | $3,388.44 | $5,128.61 | $9,772.37 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,513.56 Median $1,778.28 Typical High $1,905.46 | Professional | None | $1,513.56 | $1,778.28 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,995.26 Typical High $2,691.53 | Facility | None | $1,778.28 | $1,995.26 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $1,584.89 | Professional | None | $1,174.90 | $1,380.38 | $1,584.89 |
Moda Health Setting Facility Modifier None Typical Low $794.33 Median $2,818.38 Typical High $4,466.84 | Facility | None | $794.33 | $2,818.38 | $4,466.84 |
Moda Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,778.28 Typical High $2,818.38 | Professional | None | $1,230.27 | $1,778.28 | $2,818.38 |
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 $1,348.96 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,348.96 | $1,659.59 | $1,659.59 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $5,011.87 | Professional | None | $1,659.59 | $1,659.59 | $5,011.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,495.41 Median $7,943.28 Typical High $10,471.29 | Facility | None | $5,495.41 | $7,943.28 | $10,471.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,778.28 Median $1,905.46 Typical High $1,995.26 | Professional | None | $1,778.28 | $1,905.46 | $1,995.26 |
Select Health Setting Facility Modifier None Typical Low $794.33 Median $812.83 Typical High $10,715.19 | Facility | None | $794.33 | $812.83 | $10,715.19 |
Select Health Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,174.90 | Professional | None | $794.33 | $794.33 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,819.70 Typical High $2,398.83 | Facility | None | $1,412.54 | $1,819.70 | $2,398.83 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,479.11 Typical High $2,137.96 | Professional | None | $1,047.13 | $1,479.11 | $2,137.96 |
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 $1,348.96 Median $1,548.82 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,348.96 | $1,548.82 | $1,659.59 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $169.82 Typical High $186.21 | Professional | 55 · Aftercare only | $147.91 | $169.82 | $186.21 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $933.25 Median $1,071.52 Typical High $1,148.15 | Professional | 62 · Two surgeons | $933.25 | $1,071.52 | $1,148.15 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,778.28 Median $2,041.74 Typical High $2,238.72 | Professional | 63 · Small infant | $1,778.28 | $2,041.74 | $2,238.72 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,202.26 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,202.26 | $1,288.25 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $239.88 Median $275.42 Typical High $295.12 | Professional | 80 · Assistant surgeon | $239.88 | $275.42 | $295.12 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $239.88 Median $275.42 Typical High $295.12 | Professional | 81 · Minimal assistant surgeon | $239.88 | $275.42 | $295.12 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $239.88 Median $275.42 Typical High $295.12 | Professional | 82 · Assistant surgeon, no resident | $239.88 | $275.42 | $295.12 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $204.17 Median $234.42 Typical High $251.19 | Professional | AS · PA/NP assist | $204.17 | $234.42 | $251.19 |
Where Idaho sits
The same service costs 4.6 times more in Wisconsin 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· 16th of 51
$1,778
WI $3,981TX $871
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.