How much rates vary
Facilitymedian $1,862 · 10th to 90th $550 to $10,000Professionalmedian $3,981 · 10th to 90th $2,630 to $6,918
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 $2,691.53 Median $6,918.31 Typical High $6,918.31 | Professional | None | $2,691.53 | $6,918.31 | $6,918.31 |
BCBS Idaho Setting Facility Modifier None Typical Low $8,709.64 Median $9,332.54 Typical High $13,489.63 | Facility | None | $8,709.64 | $9,332.54 | $13,489.63 |
BCBS Idaho Setting Professional Modifier None Typical Low $3,548.13 Median $4,265.80 Typical High $4,570.88 | Professional | None | $3,548.13 | $4,265.80 | $4,570.88 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $3,235.94 Median $3,715.35 Typical High $3,981.07 | Professional | 54 · Surgery only | $3,235.94 | $3,715.35 | $3,981.07 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,511.89 Median $2,884.03 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $2,511.89 | $2,884.03 | $3,090.30 |
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 $2,818.38 Median $3,388.44 Typical High $3,890.45 | Professional | None | $2,818.38 | $3,388.44 | $3,890.45 |
Moda Health Setting Facility Modifier None Typical Low $1,905.46 Median $5,495.41 Typical High $9,772.37 | Facility | None | $1,905.46 | $5,495.41 | $9,772.37 |
Moda Health Setting Professional Modifier None Typical Low $2,951.21 Median $4,265.80 Typical High $6,918.31 | Professional | None | $2,951.21 | $4,265.80 | $6,918.31 |
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 $3,235.94 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,235.94 | $3,981.07 | $3,981.07 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,981.07 | $3,981.07 | $3,981.07 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,265.80 Median $4,570.88 Typical High $4,786.30 | Professional | None | $4,265.80 | $4,570.88 | $4,786.30 |
Select Health Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,089.30 | Facility | None | $1,905.46 | $1,905.46 | $2,089.30 |
Select Health Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,818.38 | Professional | None | $1,905.46 | $1,905.46 | $2,818.38 |
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 $2,454.71 Median $3,467.37 Typical High $5,011.87 | Professional | None | $2,454.71 | $3,467.37 | $5,011.87 |
7 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 55 · Aftercare only Typical Low $354.81 Median $416.87 Typical High $446.68 | Professional | 55 · Aftercare only | $354.81 | $416.87 | $446.68 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $2,238.72 Median $2,570.40 Typical High $2,818.38 | Professional | 62 · Two surgeons | $2,238.72 | $2,570.40 | $2,818.38 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $4,265.80 Median $5,011.87 Typical High $5,370.32 | Professional | 63 · Small infant | $4,265.80 | $5,011.87 | $5,370.32 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $575.44 Median $660.69 Typical High $707.95 | Professional | 80 · Assistant surgeon | $575.44 | $660.69 | $707.95 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $575.44 Median $660.69 Typical High $707.95 | Professional | 81 · Minimal assistant surgeon | $575.44 | $660.69 | $707.95 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $575.44 Median $660.69 Typical High $707.95 | Professional | 82 · Assistant surgeon, no resident | $575.44 | $660.69 | $707.95 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $489.78 Median $562.34 Typical High $602.56 | Professional | AS · PA/NP assist | $489.78 | $562.34 | $602.56 |
Where Idaho sits
The same service costs 6.5 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· 14th of 51
$3,802
AK $9,120TX $1,413
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.