How much rates vary
Facilitymedian $1,047 · 10th to 90th $550 to $5,495Professionalmedian $2,188 · 10th to 90th $1,445 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 $1,445.44 Median $3,715.35 Typical High $3,715.35 | Professional | None | $1,445.44 | $3,715.35 | $3,715.35 |
BCBS Idaho Setting Facility Modifier None Typical Low $4,786.30 Median $5,128.61 Typical High $7,413.10 | Facility | None | $4,786.30 | $5,128.61 | $7,413.10 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,949.84 Median $2,344.23 Typical High $2,511.89 | Professional | None | $1,949.84 | $2,344.23 | $2,511.89 |
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 $1,047.13 Median $3,715.35 Typical High $5,495.41 | Facility | None | $1,047.13 | $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 $1,778.28 Median $2,187.76 Typical High $2,187.76 | Facility | None | $1,778.28 | $2,187.76 | $2,187.76 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,344.23 Median $2,511.89 Typical High $2,630.27 | Professional | None | $2,344.23 | $2,511.89 | $2,630.27 |
Select Health Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,122.02 | Facility | None | $1,047.13 | $1,047.13 | $1,122.02 |
Select Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,548.82 | Professional | None | $1,047.13 | $1,047.13 | $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 $1,348.96 Median $1,905.46 Typical High $2,754.23 | Professional | None | $1,348.96 | $1,905.46 | $2,754.23 |
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 $2,951.21 Median $3,388.44 Typical High $3,630.78 | Professional | 50 · Both sides | $2,951.21 | $3,388.44 | $3,630.78 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $2,041.74 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,778.28 | $2,041.74 | $2,187.76 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $223.87 Typical High $245.47 | Professional | 55 · Aftercare only | $194.98 | $223.87 | $245.47 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,230.27 Median $1,412.54 Typical High $1,513.56 | Professional | 62 · Two surgeons | $1,230.27 | $1,412.54 | $1,513.56 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,344.23 Median $2,691.53 Typical High $2,951.21 | Professional | 63 · Small infant | $2,344.23 | $2,691.53 | $2,951.21 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,584.89 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,584.89 | $1,698.24 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $316.23 Median $363.08 Typical High $389.05 | Professional | 80 · Assistant surgeon | $316.23 | $363.08 | $389.05 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $316.23 Median $363.08 Typical High $389.05 | Professional | 81 · Minimal assistant surgeon | $316.23 | $363.08 | $389.05 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $316.23 Median $363.08 Typical High $389.05 | Professional | 82 · Assistant surgeon, no resident | $316.23 | $363.08 | $389.05 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $269.15 Median $309.03 Typical High $331.13 | Professional | AS · PA/NP assist | $269.15 | $309.03 | $331.13 |
Where Idaho sits
The same service costs 8.1 times more in Maine than in Maryland. 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
ME $15,945MD $1,975
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.