How much rates vary
Facilitymedian $977 · 10th to 90th $550 to $5,623Professionalmedian $1,950 · 10th to 90th $1,230 to $3,311
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 $4,466.84 Median $4,466.84 Typical High $5,495.41 | Facility | None | $4,466.84 | $4,466.84 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $3,311.31 | Professional | None | $1,122.02 | $1,445.44 | $3,311.31 |
BCBS Idaho Setting Facility Modifier None Typical Low $4,073.80 Median $4,466.84 Typical High $6,165.95 | Facility | None | $4,073.80 | $4,466.84 | $6,165.95 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,819.70 Median $2,187.76 Typical High $2,290.87 | Professional | None | $1,819.70 | $2,187.76 | $2,290.87 |
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 $1,348.96 Median $1,584.89 Typical High $1,819.70 | Professional | None | $1,348.96 | $1,584.89 | $1,819.70 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $3,311.31 Typical High $5,495.41 | Facility | None | $977.24 | $3,311.31 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,445.44 Median $2,041.74 Typical High $3,311.31 | Professional | None | $1,445.44 | $2,041.74 | $3,311.31 |
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 $1,659.59 Median $2,041.74 Typical High $2,041.74 | Facility | None | $1,659.59 | $2,041.74 | $2,041.74 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,041.74 Median $2,238.72 Typical High $2,344.23 | Professional | None | $2,041.74 | $2,238.72 | $2,344.23 |
Select Health Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $1,047.13 | Facility | None | $977.24 | $977.24 | $1,047.13 |
Select Health Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,412.54 | Professional | None | $977.24 | $977.24 | $1,412.54 |
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 $1,071.52 Median $1,621.81 Typical High $2,344.23 | Professional | None | $1,071.52 | $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 54 · Surgery only Typical Low $1,659.59 Median $1,995.26 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,659.59 | $1,995.26 | $2,041.74 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $218.78 Typical High $229.09 | Professional | 55 · Aftercare only | $181.97 | $218.78 | $229.09 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,148.15 Median $1,380.38 Typical High $1,412.54 | Professional | 62 · Two surgeons | $1,148.15 | $1,380.38 | $1,412.54 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,187.76 Median $2,630.27 Typical High $2,754.23 | Professional | 63 · Small infant | $2,187.76 | $2,630.27 | $2,754.23 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,548.82 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,548.82 | $1,584.89 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $288.40 Median $354.81 Typical High $363.08 | Professional | 80 · Assistant surgeon | $288.40 | $354.81 | $363.08 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $288.40 Median $354.81 Typical High $363.08 | Professional | 81 · Minimal assistant surgeon | $288.40 | $354.81 | $363.08 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $288.40 Median $354.81 Typical High $363.08 | Professional | 82 · Assistant surgeon, no resident | $288.40 | $354.81 | $363.08 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $245.47 Median $302.00 Typical High $309.03 | Professional | AS · PA/NP assist | $245.47 | $302.00 | $309.03 |
Where Idaho sits
The same service costs 9.9 times more in Alabama 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
AL $18,241MD $1,851
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.