How much rates vary
Facilitymedian $3,467 · 10th to 90th $933 to $9,550Professionalmedian $759 · 10th to 90th $457 to $1,230
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 $1,621.81 Median $4,466.84 Typical High $7,244.36 | Facility | None | $1,621.81 | $4,466.84 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $1,230.27 Typical High $1,230.27 | Professional | None | $446.68 | $1,230.27 | $1,230.27 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,754.23 Median $3,890.45 Typical High $10,232.93 | Facility | None | $2,754.23 | $3,890.45 | $10,232.93 |
BCBS Idaho Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $870.96 | Professional | None | $707.95 | $831.76 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $3,235.94 Median $3,630.78 Typical High $4,897.79 | Facility | None | $3,235.94 | $3,630.78 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $602.56 Typical High $691.83 | Professional | None | $467.74 | $602.56 | $691.83 |
Moda Health Setting Facility Modifier None Typical Low $416.87 Median $1,230.27 Typical High $5,495.41 | Facility | None | $416.87 | $1,230.27 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $549.54 Median $776.25 Typical High $1,230.27 | Professional | None | $549.54 | $776.25 | $1,230.27 |
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 $630.96 Median $776.25 Typical High $776.25 | Facility | None | $630.96 | $776.25 | $776.25 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $758.58 Median $776.25 Typical High $5,754.40 | Professional | None | $758.58 | $776.25 | $5,754.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,606.93 Median $9,549.93 Typical High $12,882.50 | Facility | None | $6,606.93 | $9,549.93 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $776.25 Median $831.76 Typical High $870.96 | Professional | None | $776.25 | $831.76 | $870.96 |
Select Health Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $7,079.46 | Facility | None | $371.54 | $371.54 | $7,079.46 |
Select Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $512.86 | Professional | None | $371.54 | $371.54 | $512.86 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,819.70 Typical High $2,398.83 | Facility | None | $1,412.54 | $1,819.70 | $2,398.83 |
United Setting Professional Modifier None Typical Low $354.81 Median $537.03 Typical High $794.33 | Professional | None | $354.81 | $537.03 | $794.33 |
8 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 $630.96 Median $676.08 Typical High $776.25 | Professional | 54 · Surgery only | $630.96 | $676.08 | $776.25 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $75.86 Typical High $87.10 | Professional | 55 · Aftercare only | $69.18 | $75.86 | $87.10 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $831.76 Median $912.01 Typical High $1,047.13 | Professional | 63 · Small infant | $831.76 | $912.01 | $1,047.13 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $524.81 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $489.78 | $524.81 | $602.56 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $112.20 Median $120.23 Typical High $138.04 | Professional | 80 · Assistant surgeon | $112.20 | $120.23 | $138.04 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $112.20 Median $120.23 Typical High $138.04 | Professional | 81 · Minimal assistant surgeon | $112.20 | $120.23 | $138.04 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $112.20 Median $120.23 Typical High $138.04 | Professional | 82 · Assistant surgeon, no resident | $112.20 | $120.23 | $138.04 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $93.33 Median $102.33 Typical High $117.49 | Professional | AS · PA/NP assist | $93.33 | $102.33 | $117.49 |
Where Idaho sits
The same service costs 5.4 times more in Alaska than in New York. 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
$933
AK $2,239NY $417
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.