How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,230 to $12,303Professionalmedian $1,148 · 10th to 90th $708 to $1,950
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 $1,071.52 Median $4,466.84 Typical High $8,709.64 | Facility | None | $1,071.52 | $4,466.84 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $851.14 Typical High $1,949.84 | Professional | None | $645.65 | $851.14 | $1,949.84 |
BCBS Idaho Setting Facility Modifier None Typical Low $4,168.69 Median $7,079.46 Typical High $14,454.40 | Facility | None | $4,168.69 | $7,079.46 | $14,454.40 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $1,380.38 | Professional | None | $1,047.13 | $1,288.25 | $1,380.38 |
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 $812.83 Median $954.99 Typical High $1,096.48 | Professional | None | $812.83 | $954.99 | $1,096.48 |
Moda Health Setting Facility Modifier None Typical Low $812.83 Median $1,949.84 Typical High $5,495.41 | Facility | None | $812.83 | $1,949.84 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $741.31 Median $1,202.26 Typical High $1,949.84 | Professional | None | $741.31 | $1,202.26 | $1,949.84 |
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 $933.25 Median $1,148.15 Typical High $1,148.15 | Facility | None | $933.25 | $1,148.15 | $1,148.15 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $8,511.38 | Professional | None | $1,148.15 | $1,148.15 | $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 $1,230.27 Median $1,318.26 Typical High $1,380.38 | Professional | None | $1,230.27 | $1,318.26 | $1,380.38 |
Select Health Setting Facility Modifier None Typical Low $549.54 Median $562.34 Typical High $8,317.64 | Facility | None | $549.54 | $562.34 | $8,317.64 |
Select Health Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $812.83 | Professional | None | $549.54 | $549.54 | $812.83 |
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 $676.08 Median $1,000.00 Typical High $1,445.44 | Professional | None | $676.08 | $1,000.00 | $1,445.44 |
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 $933.25 Median $1,122.02 Typical High $1,174.90 | Professional | 54 · Surgery only | $933.25 | $1,122.02 | $1,174.90 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $123.03 Typical High $131.83 | Professional | 55 · Aftercare only | $102.33 | $123.03 | $131.83 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $645.65 Median $776.25 Typical High $812.83 | Professional | 62 · Two surgeons | $645.65 | $776.25 | $812.83 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,230.27 Median $1,479.11 Typical High $1,584.89 | Professional | 63 · Small infant | $1,230.27 | $1,479.11 | $1,584.89 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $870.96 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $724.44 | $870.96 | $912.01 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $199.53 Typical High $208.93 | Professional | 80 · Assistant surgeon | $165.96 | $199.53 | $208.93 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $165.96 Median $199.53 Typical High $208.93 | Professional | 81 · Minimal assistant surgeon | $165.96 | $199.53 | $208.93 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $165.96 Median $199.53 Typical High $208.93 | Professional | 82 · Assistant surgeon, no resident | $165.96 | $199.53 | $208.93 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $141.25 Median $169.82 Typical High $177.83 | Professional | AS · PA/NP assist | $141.25 | $169.82 | $177.83 |
Where Idaho sits
The same service costs 5.3 times more in Wisconsin than in Montana. 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.
Physician feeFacility fee
WI $10,556MT $2,002
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.