How much rates vary
Facilitymedian $200 · 10th to 90th $59 to $417Professionalmedian $50 · 10th to 90th $28 to $78
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 $83.18 Median $93.33 Typical High $97.72 | Facility | None | $83.18 | $93.33 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $38.02 Typical High $77.62 | Professional | None | $25.12 | $38.02 | $77.62 |
BCBS Idaho Setting Facility Modifier None Typical Low $77.62 Median $204.17 Typical High $389.05 | Facility | None | $77.62 | $204.17 | $389.05 |
BCBS Idaho Setting Professional Modifier None Typical Low $54.95 Median $56.23 Typical High $85.11 | Professional | None | $54.95 | $56.23 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $39.81 Typical High $42.66 | Professional | None | $31.62 | $39.81 | $42.66 |
Moda Health Setting Facility Modifier None Typical Low $52.48 Median $104.71 Typical High $512.86 | Facility | None | $52.48 | $104.71 | $512.86 |
Moda Health Setting Professional Modifier None Typical Low $33.11 Median $52.48 Typical High $77.62 | Professional | None | $33.11 | $52.48 | $77.62 |
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 $47.86 Median $58.88 Typical High $58.88 | Facility | None | $47.86 | $58.88 | $58.88 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $204.17 | Professional | None | $58.88 | $58.88 | $204.17 |
Regence BlueShield Setting Facility Modifier None Typical Low $218.78 Median $309.03 Typical High $416.87 | Facility | None | $218.78 | $309.03 | $416.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $50.12 Median $54.95 Typical High $57.54 | Professional | None | $50.12 | $54.95 | $57.54 |
Select Health Setting Facility Modifier None Typical Low $27.54 Median $28.18 Typical High $223.87 | Facility | None | $27.54 | $28.18 | $223.87 |
Select Health Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $38.02 | Professional | None | $27.54 | $27.54 | $38.02 |
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 $21.88 Median $33.11 Typical High $48.98 | Professional | None | $21.88 | $33.11 | $48.98 |
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 $47.86 Median $50.12 Typical High $58.88 | Professional | 54 · Surgery only | $47.86 | $50.12 | $58.88 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $5.62 Typical High $6.61 | Professional | 55 · Aftercare only | $5.25 | $5.62 | $6.61 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $63.10 Median $67.61 Typical High $79.43 | Professional | 63 · Small infant | $63.10 | $67.61 | $79.43 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $37.15 Median $39.81 Typical High $46.77 | Professional | 78 · Unplanned return to OR | $37.15 | $39.81 | $46.77 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.51 Median $8.91 Typical High $10.47 | Professional | 80 · Assistant surgeon | $8.51 | $8.91 | $10.47 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.51 Median $8.91 Typical High $10.47 | Professional | 81 · Minimal assistant surgeon | $8.51 | $8.91 | $10.47 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.51 Median $8.91 Typical High $10.47 | Professional | 82 · Assistant surgeon, no resident | $8.51 | $8.91 | $10.47 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $7.24 Median $7.59 Typical High $8.91 | Professional | AS · PA/NP assist | $7.24 | $7.59 | $8.91 |
Where Idaho sits
The same service costs 7.8 times more in Tennessee than in Kentucky. 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· 12th of 51
$58.88
TN $191KY $24.55
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.