How much rates vary
Facilitymedian $871 · 10th to 90th $550 to $4,677Professionalmedian $1,862 · 10th to 90th $1,202 to $3,162
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 $2,884.03 Median $4,466.84 Typical High $7,762.47 | Facility | None | $2,884.03 | $4,466.84 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $3,162.28 Typical High $3,162.28 | Professional | None | $1,071.52 | $3,162.28 | $3,162.28 |
BCBS Idaho Setting Facility Modifier None Typical Low $4,168.69 Median $4,365.16 Typical High $5,623.41 | Facility | None | $4,168.69 | $4,365.16 | $5,623.41 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,659.59 Median $1,995.26 Typical High $2,137.96 | Professional | None | $1,659.59 | $1,995.26 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $1,380.38 Typical High $12,589.25 | Facility | None | $151.36 | $1,380.38 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,548.82 Typical High $1,778.28 | Professional | None | $1,318.26 | $1,548.82 | $1,778.28 |
Moda Health Setting Facility Modifier None Typical Low $870.96 Median $3,162.28 Typical High $5,495.41 | Facility | None | $870.96 | $3,162.28 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,949.84 Typical High $3,162.28 | Professional | None | $1,318.26 | $1,949.84 | $3,162.28 |
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 $1,513.56 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,513.56 | $1,862.09 | $1,862.09 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,995.26 Median $2,089.30 Typical High $2,238.72 | Professional | None | $1,995.26 | $2,089.30 | $2,238.72 |
Select Health Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $954.99 | Facility | None | $870.96 | $870.96 | $954.99 |
Select Health Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,318.26 | Professional | None | $870.96 | $870.96 | $1,318.26 |
United Setting Facility Modifier None Typical Low $436.52 Median $676.08 Typical High $870.96 | Facility | None | $436.52 | $676.08 | $870.96 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $2,344.23 | Professional | None | $1,174.90 | $1,621.81 | $2,344.23 |
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 50 · Both sides Typical Low $2,511.89 Median $3,019.95 Typical High $3,162.28 | Professional | 50 · Both sides | $2,511.89 | $3,019.95 | $3,162.28 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,819.70 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,479.11 | $1,819.70 | $1,905.46 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $199.53 Typical High $213.80 | Professional | 55 · Aftercare only | $165.96 | $199.53 | $213.80 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,995.26 Median $2,398.83 Typical High $2,570.40 | Professional | 63 · Small infant | $1,995.26 | $2,398.83 | $2,570.40 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,412.54 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,412.54 | $1,479.11 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $263.03 Median $323.59 Typical High $338.84 | Professional | 80 · Assistant surgeon | $263.03 | $323.59 | $338.84 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $263.03 Median $323.59 Typical High $338.84 | Professional | 81 · Minimal assistant surgeon | $263.03 | $323.59 | $338.84 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $263.03 Median $323.59 Typical High $338.84 | Professional | 82 · Assistant surgeon, no resident | $263.03 | $323.59 | $338.84 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $223.87 Median $275.42 Typical High $288.40 | Professional | AS · PA/NP assist | $223.87 | $275.42 | $288.40 |
Where Idaho sits
The same service costs 7.5 times more in Colorado than in Maryland. 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
CO $13,030MD $1,737
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.