How much rates vary
Facilitymedian $1,000 · 10th to 90th $550 to $5,495Professionalmedian $2,089 · 10th to 90th $1,380 to $3,548
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 $1,380.38 Median $3,548.13 Typical High $3,548.13 | Professional | None | $1,380.38 | $3,548.13 | $3,548.13 |
BCBS Idaho Setting Facility Modifier None Typical Low $4,570.88 Median $4,897.79 Typical High $7,079.46 | Facility | None | $4,570.88 | $4,897.79 | $7,079.46 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,862.09 Median $2,238.72 Typical High $2,398.83 | Professional | None | $1,862.09 | $2,238.72 | $2,398.83 |
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 $1,479.11 Median $1,737.80 Typical High $1,995.26 | Professional | None | $1,479.11 | $1,737.80 | $1,995.26 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $3,548.13 Typical High $5,495.41 | Facility | None | $1,000.00 | $3,548.13 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,238.72 Typical High $3,548.13 | Professional | None | $1,548.82 | $2,238.72 | $3,548.13 |
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 $1,698.24 Median $2,089.30 Typical High $2,089.30 | Facility | None | $1,698.24 | $2,089.30 | $2,089.30 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,238.72 Median $2,398.83 Typical High $2,511.89 | Professional | None | $2,238.72 | $2,398.83 | $2,511.89 |
Select Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,071.52 | Facility | None | $1,000.00 | $1,000.00 | $1,071.52 |
Select Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,479.11 | Professional | None | $1,000.00 | $1,000.00 | $1,479.11 |
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 $1,819.70 Typical High $2,630.27 | Professional | None | $1,230.27 | $1,819.70 | $2,630.27 |
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 $2,818.38 Median $3,235.94 Typical High $3,467.37 | Professional | 50 · Both sides | $2,818.38 | $3,235.94 | $3,467.37 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,949.84 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,698.24 | $1,949.84 | $2,089.30 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $213.80 Typical High $234.42 | Professional | 55 · Aftercare only | $186.21 | $213.80 | $234.42 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,174.90 Median $1,348.96 Typical High $1,445.44 | Professional | 62 · Two surgeons | $1,174.90 | $1,348.96 | $1,445.44 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,238.72 Median $2,570.40 Typical High $2,818.38 | Professional | 63 · Small infant | $2,238.72 | $2,570.40 | $2,818.38 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,513.56 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,513.56 | $1,621.81 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $302.00 Median $346.74 Typical High $371.54 | Professional | 80 · Assistant surgeon | $302.00 | $346.74 | $371.54 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $302.00 Median $346.74 Typical High $371.54 | Professional | 81 · Minimal assistant surgeon | $302.00 | $346.74 | $371.54 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $302.00 Median $346.74 Typical High $371.54 | Professional | 82 · Assistant surgeon, no resident | $302.00 | $346.74 | $371.54 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $257.04 Median $295.12 Typical High $316.23 | Professional | AS · PA/NP assist | $257.04 | $295.12 | $316.23 |
Where Idaho sits
The same service costs 5.2 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
$1,995
AK $4,786TX $912
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.