How much rates vary
Facilitymedian $891 · 10th to 90th $550 to $4,786Professionalmedian $1,862 · 10th to 90th $1,288 to $3,311
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 $1,318.26 Median $3,311.31 Typical High $3,311.31 | Professional | None | $1,318.26 | $3,311.31 | $3,311.31 |
BCBS Idaho Setting Facility Modifier None Typical Low $4,265.80 Median $4,466.84 Typical High $5,495.41 | Facility | None | $4,265.80 | $4,466.84 | $5,495.41 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,698.24 Median $1,995.26 Typical High $2,187.76 | Professional | None | $1,698.24 | $1,995.26 | $2,187.76 |
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 $1,380.38 Median $1,621.81 Typical High $1,862.09 | Professional | None | $1,380.38 | $1,621.81 | $1,862.09 |
Moda Health Setting Facility Modifier None Typical Low $891.25 Median $3,311.31 Typical High $5,495.41 | Facility | None | $891.25 | $3,311.31 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,445.44 Median $2,089.30 Typical High $3,311.31 | Professional | None | $1,445.44 | $2,089.30 | $3,311.31 |
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 $1,513.56 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,513.56 | $1,862.09 | $1,862.09 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,905.46 | Professional | None | $1,862.09 | $1,862.09 | $1,905.46 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,089.30 Median $2,187.76 Typical High $2,238.72 | Professional | None | $2,089.30 | $2,187.76 | $2,238.72 |
Select Health Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $977.24 | Facility | None | $891.25 | $891.25 | $977.24 |
Select Health Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,318.26 | Professional | None | $891.25 | $891.25 | $1,318.26 |
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 $1,174.90 Median $1,698.24 Typical High $2,454.71 | Professional | None | $1,174.90 | $1,698.24 | $2,454.71 |
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 $2,511.89 Median $3,019.95 Typical High $3,162.28 | Professional | 50 · Both sides | $2,511.89 | $3,019.95 | $3,162.28 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,819.70 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,513.56 | $1,819.70 | $1,905.46 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $199.53 Typical High $208.93 | Professional | 55 · Aftercare only | $169.82 | $199.53 | $208.93 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,047.13 Median $1,258.93 Typical High $1,318.26 | Professional | 62 · Two surgeons | $1,047.13 | $1,258.93 | $1,318.26 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,041.74 Median $2,398.83 Typical High $2,511.89 | Professional | 63 · Small infant | $2,041.74 | $2,398.83 | $2,511.89 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,412.54 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,412.54 | $1,479.11 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $269.15 Median $323.59 Typical High $338.84 | Professional | 80 · Assistant surgeon | $269.15 | $323.59 | $338.84 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $269.15 Median $323.59 Typical High $338.84 | Professional | 81 · Minimal assistant surgeon | $269.15 | $323.59 | $338.84 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $269.15 Median $323.59 Typical High $338.84 | Professional | 82 · Assistant surgeon, no resident | $269.15 | $323.59 | $338.84 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $229.09 Median $275.42 Typical High $288.40 | Professional | AS · PA/NP assist | $229.09 | $275.42 | $288.40 |
Where Idaho sits
The same service costs 8.2 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 $15,747MD $1,911
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.