How much rates vary
Facilitymedian $204 · 10th to 90th $65 to $417Professionalmedian $56 · 10th to 90th $32 to $87
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 $54.95 Median $104.71 Typical High $104.71 | Facility | None | $54.95 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $42.66 Typical High $87.10 | Professional | None | $28.18 | $42.66 | $87.10 |
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 $60.26 Median $61.66 Typical High $91.20 | Professional | None | $60.26 | $61.66 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $44.67 Typical High $48.98 | Professional | None | $35.48 | $44.67 | $48.98 |
Moda Health Setting Facility Modifier None Typical Low $36.31 Median $104.71 Typical High $257.04 | Facility | None | $36.31 | $104.71 | $257.04 |
Moda Health Setting Professional Modifier None Typical Low $42.66 Median $58.88 Typical High $87.10 | Professional | None | $42.66 | $58.88 | $87.10 |
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 $52.48 Median $64.57 Typical High $64.57 | Facility | None | $52.48 | $64.57 | $64.57 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $204.17 | Professional | None | $64.57 | $64.57 | $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 $54.95 Median $60.26 Typical High $61.66 | Professional | None | $54.95 | $60.26 | $61.66 |
Select Health Setting Facility Modifier None Typical Low $30.90 Median $31.62 Typical High $173.78 | Facility | None | $30.90 | $31.62 | $173.78 |
Select Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $41.69 | Professional | None | $30.90 | $30.90 | $41.69 |
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 $26.92 Median $37.15 Typical High $54.95 | Professional | None | $26.92 | $37.15 | $54.95 |
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 $52.48 Median $54.95 Typical High $66.07 | Professional | 54 · Surgery only | $52.48 | $54.95 | $66.07 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $6.17 Typical High $7.24 | Professional | 55 · Aftercare only | $5.89 | $6.17 | $7.24 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $69.18 Median $74.13 Typical High $87.10 | Professional | 63 · Small infant | $69.18 | $74.13 | $87.10 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $40.74 Median $43.65 Typical High $51.29 | Professional | 78 · Unplanned return to OR | $40.74 | $43.65 | $51.29 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.33 Median $9.77 Typical High $11.75 | Professional | 80 · Assistant surgeon | $9.33 | $9.77 | $11.75 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.33 Median $9.77 Typical High $11.75 | Professional | 81 · Minimal assistant surgeon | $9.33 | $9.77 | $11.75 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.33 Median $9.77 Typical High $11.75 | Professional | 82 · Assistant surgeon, no resident | $9.33 | $9.77 | $11.75 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $7.94 Median $8.32 Typical High $9.77 | Professional | AS · PA/NP assist | $7.94 | $8.32 | $9.77 |
Where Idaho sits
The same service costs 7.1 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· 13th of 51
$64.57
TN $209KY $29.51
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.