How much rates vary
Facilitymedian $1,380 · 10th to 90th $550 to $7,413Professionalmedian $2,884 · 10th to 90th $1,950 to $5,012
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 $1,949.84 Median $5,011.87 Typical High $5,011.87 | Professional | None | $1,949.84 | $5,011.87 | $5,011.87 |
BCBS Idaho Setting Facility Modifier None Typical Low $6,309.57 Median $6,918.31 Typical High $9,772.37 | Facility | None | $6,309.57 | $6,918.31 | $9,772.37 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,630.27 Median $3,090.30 Typical High $3,311.31 | Professional | None | $2,630.27 | $3,090.30 | $3,311.31 |
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 $2,041.74 Median $2,454.71 Typical High $2,818.38 | Professional | None | $2,041.74 | $2,454.71 | $2,818.38 |
Moda Health Setting Facility Modifier None Typical Low $1,380.38 Median $5,011.87 Typical High $7,244.36 | Facility | None | $1,380.38 | $5,011.87 | $7,244.36 |
Moda Health Setting Professional Modifier None Typical Low $2,137.96 Median $3,090.30 Typical High $5,011.87 | Professional | None | $2,137.96 | $3,090.30 | $5,011.87 |
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 $2,344.23 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,344.23 | $2,884.03 | $2,884.03 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,951.21 | Professional | None | $2,884.03 | $2,884.03 | $2,951.21 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,090.30 Median $3,311.31 Typical High $3,467.37 | Professional | None | $3,090.30 | $3,311.31 | $3,467.37 |
Select Health Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,513.56 | Facility | None | $1,380.38 | $1,380.38 | $1,513.56 |
Select Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,041.74 | Professional | None | $1,380.38 | $1,380.38 | $2,041.74 |
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 $1,819.70 Median $2,570.40 Typical High $3,630.78 | Professional | None | $1,819.70 | $2,570.40 | $3,630.78 |
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 $3,890.45 Median $4,570.88 Typical High $4,897.79 | Professional | 50 · Both sides | $3,890.45 | $4,570.88 | $4,897.79 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,691.53 Typical High $2,951.21 | Professional | 54 · Surgery only | $2,344.23 | $2,691.53 | $2,951.21 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $302.00 Typical High $323.59 | Professional | 55 · Aftercare only | $263.03 | $302.00 | $323.59 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,621.81 Median $1,905.46 Typical High $2,041.74 | Professional | 62 · Two surgeons | $1,621.81 | $1,905.46 | $2,041.74 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $3,162.28 Median $3,630.78 Typical High $3,890.45 | Professional | 63 · Small infant | $3,162.28 | $3,630.78 | $3,890.45 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $2,089.30 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $1,819.70 | $2,089.30 | $2,290.87 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $416.87 Median $478.63 Typical High $524.81 | Professional | 80 · Assistant surgeon | $416.87 | $478.63 | $524.81 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $416.87 Median $478.63 Typical High $524.81 | Professional | 81 · Minimal assistant surgeon | $416.87 | $478.63 | $524.81 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $416.87 Median $478.63 Typical High $524.81 | Professional | 82 · Assistant surgeon, no resident | $416.87 | $478.63 | $524.81 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $354.81 Median $407.38 Typical High $446.68 | Professional | AS · PA/NP assist | $354.81 | $407.38 | $446.68 |
Where Idaho sits
The same service costs 5.8 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
$2,754
AK $6,761TX $1,175
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.