How much rates vary
Facilitymedian $1,738 · 10th to 90th $550 to $8,913Professionalmedian $3,631 · 10th to 90th $2,291 to $6,166
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 $2,290.87 Median $6,165.95 Typical High $6,165.95 | Professional | None | $2,290.87 | $6,165.95 | $6,165.95 |
BCBS Idaho Setting Facility Modifier None Typical Low $7,585.78 Median $8,128.31 Typical High $11,481.54 | Facility | None | $7,585.78 | $8,128.31 | $11,481.54 |
BCBS Idaho Setting Professional Modifier None Typical Low $3,235.94 Median $3,890.45 Typical High $4,168.69 | Professional | None | $3,235.94 | $3,890.45 | $4,168.69 |
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 $2,570.40 Median $3,019.95 Typical High $3,467.37 | Professional | None | $2,570.40 | $3,019.95 | $3,467.37 |
Moda Health Setting Facility Modifier None Typical Low $1,318.26 Median $5,495.41 Typical High $8,912.51 | Facility | None | $1,318.26 | $5,495.41 | $8,912.51 |
Moda Health Setting Professional Modifier None Typical Low $2,630.27 Median $3,890.45 Typical High $6,165.95 | Professional | None | $2,630.27 | $3,890.45 | $6,165.95 |
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 $2,951.21 Median $3,630.78 Typical High $3,630.78 | Facility | None | $2,951.21 | $3,630.78 | $3,630.78 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,890.45 Median $4,168.69 Typical High $4,265.80 | Professional | None | $3,890.45 | $4,168.69 | $4,265.80 |
Select Health Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,862.09 | Facility | None | $1,737.80 | $1,737.80 | $1,862.09 |
Select Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,570.40 | Professional | None | $1,737.80 | $1,737.80 | $2,570.40 |
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 $3,019.95 Typical High $4,466.84 | Professional | None | $1,737.80 | $3,019.95 | $4,466.84 |
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 $4,897.79 Median $5,623.41 Typical High $6,025.60 | Professional | 50 · Both sides | $4,897.79 | $5,623.41 | $6,025.60 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $2,951.21 Median $3,388.44 Typical High $3,630.78 | Professional | 54 · Surgery only | $2,951.21 | $3,388.44 | $3,630.78 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $380.19 Typical High $407.38 | Professional | 55 · Aftercare only | $323.59 | $380.19 | $407.38 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $2,041.74 Median $2,344.23 Typical High $2,511.89 | Professional | 62 · Two surgeons | $2,041.74 | $2,344.23 | $2,511.89 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $3,890.45 Median $4,570.88 Typical High $4,897.79 | Professional | 63 · Small infant | $3,890.45 | $4,570.88 | $4,897.79 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,290.87 Median $2,630.27 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $2,290.87 | $2,630.27 | $2,818.38 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $524.81 Median $602.56 Typical High $645.65 | Professional | 80 · Assistant surgeon | $524.81 | $602.56 | $645.65 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $524.81 Median $602.56 Typical High $645.65 | Professional | 81 · Minimal assistant surgeon | $524.81 | $602.56 | $645.65 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $524.81 Median $602.56 Typical High $645.65 | Professional | 82 · Assistant surgeon, no resident | $524.81 | $602.56 | $645.65 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $446.68 Median $512.86 Typical High $549.54 | Professional | AS · PA/NP assist | $446.68 | $512.86 | $549.54 |
Where Idaho sits
The same service costs 7.2 times more in Alabama than in Washington. 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
AL $19,737WA $2,745
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.