How much rates vary
Facilitymedian $240 · 10th to 90th $41 to $501Professionalmedian $87 · 10th to 90th $56 to $141
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 $1,412.54 Median $4,466.84 Typical High $7,079.46 | Facility | None | $1,412.54 | $4,466.84 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $141.25 Typical High $141.25 | Professional | None | $56.23 | $141.25 | $141.25 |
BCBS Idaho Setting Facility Modifier None Typical Low $18.62 Median $204.17 Typical High $389.05 | Facility | None | $18.62 | $204.17 | $389.05 |
BCBS Idaho Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $97.72 | Professional | None | $79.43 | $93.33 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $74.13 Typical High $81.28 | Professional | None | $58.88 | $74.13 | $81.28 |
Moda Health Setting Facility Modifier None Typical Low $57.54 Median $173.78 Typical High $5,495.41 | Facility | None | $57.54 | $173.78 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $141.25 | Professional | None | $61.66 | $89.13 | $141.25 |
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 $70.79 Median $87.10 Typical High $87.10 | Facility | None | $70.79 | $87.10 | $87.10 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $204.17 | Professional | None | $87.10 | $87.10 | $204.17 |
Regence BlueShield Setting Facility Modifier None Typical Low $218.78 Median $331.13 Typical High $416.87 | Facility | None | $218.78 | $331.13 | $416.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $89.13 Median $93.33 Typical High $97.72 | Professional | None | $89.13 | $93.33 | $97.72 |
Select Health Setting Facility Modifier None Typical Low $41.69 Median $42.66 Typical High $87.10 | Facility | None | $41.69 | $42.66 | $87.10 |
Select Health Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $58.88 | Professional | None | $41.69 | $41.69 | $58.88 |
United Setting Facility Modifier None Typical Low $144.54 Median $363.08 Typical High $501.19 | Facility | None | $144.54 | $363.08 | $501.19 |
United Setting Professional Modifier None Typical Low $47.86 Median $72.44 Typical High $102.33 | Professional | None | $47.86 | $72.44 | $102.33 |
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 $70.79 Median $77.62 Typical High $87.10 | Professional | 54 · Surgery only | $70.79 | $77.62 | $87.10 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $8.71 Typical High $9.77 | Professional | 55 · Aftercare only | $7.76 | $8.71 | $9.77 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $93.33 Median $102.33 Typical High $117.49 | Professional | 63 · Small infant | $93.33 | $102.33 | $117.49 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $54.95 Median $60.26 Typical High $67.61 | Professional | 78 · Unplanned return to OR | $54.95 | $60.26 | $67.61 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.59 Median $13.80 Typical High $15.49 | Professional | 80 · Assistant surgeon | $12.59 | $13.80 | $15.49 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.59 Median $13.80 Typical High $15.49 | Professional | 81 · Minimal assistant surgeon | $12.59 | $13.80 | $15.49 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.59 Median $13.80 Typical High $15.49 | Professional | 82 · Assistant surgeon, no resident | $12.59 | $13.80 | $15.49 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $10.72 Median $11.75 Typical High $13.18 | Professional | AS · PA/NP assist | $10.72 | $11.75 | $13.18 |
Where Idaho sits
The same service costs 6.5 times more in Tennessee 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· 19th of 51
$89.13
TN $316NY $48.98
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.