How much rates vary
Facilitymedian $2,291 · 10th to 90th $741 to $8,318Professionalmedian $562 · 10th to 90th $389 to $1,023
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 $389.05 Median $1,023.29 Typical High $1,023.29 | Professional | None | $389.05 | $1,023.29 | $1,023.29 |
BCBS Idaho Setting Facility Modifier None Typical Low $776.25 Median $2,238.72 Typical High $8,511.38 | Facility | None | $776.25 | $2,238.72 | $8,511.38 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $1,174.90 Median $3,311.31 Typical High $14,454.40 | Facility | 50 · Both sides | $1,174.90 | $3,311.31 | $14,454.40 |
BCBS Idaho Setting Professional Modifier None Typical Low $524.81 Median $630.96 Typical High $691.83 | Professional | None | $524.81 | $630.96 | $691.83 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $758.58 Median $933.25 Typical High $1,023.29 | Professional | 50 · Both sides | $758.58 | $933.25 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,570.40 Typical High $3,467.37 | Facility | None | $2,290.87 | $2,570.40 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $501.19 Typical High $575.44 | Professional | None | $416.87 | $501.19 | $575.44 |
Moda Health Setting Facility Modifier None Typical Low $269.15 Median $1,023.29 Typical High $5,495.41 | Facility | None | $269.15 | $1,023.29 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $436.52 Median $630.96 Typical High $1,023.29 | Professional | None | $436.52 | $630.96 | $1,023.29 |
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 $457.09 Median $562.34 Typical High $562.34 | Facility | None | $457.09 | $562.34 | $562.34 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $5,011.87 | Professional | None | $562.34 | $562.34 | $5,011.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,495.41 Median $7,943.28 Typical High $10,471.29 | Facility | None | $5,495.41 | $7,943.28 | $10,471.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $630.96 Median $660.69 Typical High $691.83 | Professional | None | $630.96 | $660.69 | $691.83 |
Select Health Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $288.40 | Facility | None | $269.15 | $269.15 | $288.40 |
Select Health Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $416.87 | Professional | None | $269.15 | $269.15 | $416.87 |
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 $371.54 Median $512.86 Typical High $724.44 | Professional | None | $371.54 | $512.86 | $724.44 |
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 $457.09 Median $549.54 Typical High $602.56 | Professional | 54 · Surgery only | $457.09 | $549.54 | $602.56 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $61.66 Typical High $67.61 | Professional | 55 · Aftercare only | $51.29 | $61.66 | $67.61 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $616.60 Median $741.31 Typical High $812.83 | Professional | 63 · Small infant | $616.60 | $741.31 | $812.83 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $436.52 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $354.81 | $436.52 | $467.74 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $81.28 Median $97.72 Typical High $107.15 | Professional | 80 · Assistant surgeon | $81.28 | $97.72 | $107.15 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $81.28 Median $97.72 Typical High $107.15 | Professional | 81 · Minimal assistant surgeon | $81.28 | $97.72 | $107.15 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $81.28 Median $97.72 Typical High $107.15 | Professional | 82 · Assistant surgeon, no resident | $81.28 | $97.72 | $107.15 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $69.18 Median $83.18 Typical High $91.20 | Professional | AS · PA/NP assist | $69.18 | $83.18 | $91.20 |
Where Idaho sits
The same service costs 8.8 times more in Oklahoma 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
OK $8,948MT $1,014
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.