How much rates vary
Facilitymedian $4,467 · 10th to 90th $2,138 to $14,125Professionalmedian $2,138 · 10th to 90th $1,380 to $3,631
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 $3,388.44 Median $4,466.84 Typical High $8,709.64 | Facility | None | $3,388.44 | $4,466.84 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $3,630.78 Typical High $3,630.78 | Professional | None | $1,412.54 | $3,630.78 | $3,630.78 |
BCBS Idaho Setting Facility Modifier None Typical Low $5,495.41 Median $8,511.38 Typical High $16,595.87 | Facility | None | $5,495.41 | $8,511.38 | $16,595.87 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $8,317.64 Median $12,882.50 Typical High $25,118.86 | Facility | 50 · Both sides | $8,317.64 | $12,882.50 | $25,118.86 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,949.84 Median $2,290.87 Typical High $2,398.83 | Professional | None | $1,949.84 | $2,290.87 | $2,398.83 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $2,884.03 Median $3,311.31 Typical High $3,548.13 | Professional | 50 · Both sides | $2,884.03 | $3,311.31 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $3,890.45 Typical High $5,370.32 | Facility | None | $3,467.37 | $3,890.45 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,778.28 Typical High $2,041.74 | Professional | None | $1,513.56 | $1,778.28 | $2,041.74 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $3,630.78 Typical High $5,495.41 | Facility | None | $1,000.00 | $3,630.78 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,584.89 Median $2,290.87 Typical High $3,630.78 | Professional | None | $1,584.89 | $2,290.87 | $3,630.78 |
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 $1,737.80 Median $2,137.96 Typical High $2,137.96 | Facility | None | $1,737.80 | $2,137.96 | $2,137.96 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $8,511.38 | Professional | None | $2,137.96 | $2,137.96 | $8,511.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,332.54 Median $13,182.57 Typical High $17,782.79 | Facility | None | $9,332.54 | $13,182.57 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,290.87 Median $2,398.83 Typical High $2,511.89 | Professional | None | $2,290.87 | $2,398.83 | $2,511.89 |
Select Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,023.29 Typical High $10,715.19 | Facility | None | $1,000.00 | $1,023.29 | $10,715.19 |
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 $1,288.25 Median $2,818.38 Typical High $4,265.80 | Facility | None | $1,288.25 | $2,818.38 | $4,265.80 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $2,691.53 | Professional | None | $1,318.26 | $1,862.09 | $2,691.53 |
9 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 54 · Surgery only Typical Low $1,698.24 Median $1,995.26 Typical High $2,137.96 | Professional | 54 · Surgery only | $1,698.24 | $1,995.26 | $2,137.96 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $218.78 Typical High $239.88 | Professional | 55 · Aftercare only | $190.55 | $218.78 | $239.88 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,202.26 Median $1,380.38 Typical High $1,479.11 | Professional | 62 · Two surgeons | $1,202.26 | $1,380.38 | $1,479.11 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,290.87 Median $2,630.27 Typical High $2,818.38 | Professional | 63 · Small infant | $2,290.87 | $2,630.27 | $2,818.38 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,548.82 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,548.82 | $1,659.59 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $302.00 Median $354.81 Typical High $380.19 | Professional | 80 · Assistant surgeon | $302.00 | $354.81 | $380.19 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $302.00 Median $354.81 Typical High $380.19 | Professional | 81 · Minimal assistant surgeon | $302.00 | $354.81 | $380.19 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $302.00 Median $354.81 Typical High $380.19 | Professional | 82 · Assistant surgeon, no resident | $302.00 | $354.81 | $380.19 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $257.04 Median $302.00 Typical High $323.59 | Professional | AS · PA/NP assist | $257.04 | $302.00 | $323.59 |
Where Idaho sits
The same service costs 5.4 times more in Wisconsin 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· 17th of 51
$2,399
WI $5,248TX $977
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.