How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,514 to $5,623Professionalmedian $2,291 · 10th to 90th $1,479 to $3,890
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 $1,479.11 Median $3,890.45 Typical High $3,890.45 | Professional | None | $1,479.11 | $3,890.45 | $3,890.45 |
BCBS Idaho Setting Facility Modifier None Typical Low $3,548.13 Median $5,011.87 Typical High $7,244.36 | Facility | None | $3,548.13 | $5,011.87 | $7,244.36 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,041.74 Median $2,454.71 Typical High $2,630.27 | Professional | None | $2,041.74 | $2,454.71 | $2,630.27 |
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 $1,621.81 Median $1,949.84 Typical High $2,238.72 | Professional | None | $1,621.81 | $1,949.84 | $2,238.72 |
Moda Health Setting Facility Modifier None Typical Low $1,096.48 Median $3,890.45 Typical High $5,623.41 | Facility | None | $1,096.48 | $3,890.45 | $5,623.41 |
Moda Health Setting Professional Modifier None Typical Low $1,659.59 Median $2,454.71 Typical High $3,890.45 | Professional | None | $1,659.59 | $2,454.71 | $3,890.45 |
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 $1,862.09 Median $2,290.87 Typical High $2,290.87 | Facility | None | $1,862.09 | $2,290.87 | $2,290.87 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,467.37 Median $4,570.88 Typical High $5,754.40 | Facility | None | $3,467.37 | $4,570.88 | $5,754.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,454.71 Median $2,630.27 Typical High $2,754.23 | Professional | None | $2,454.71 | $2,630.27 | $2,754.23 |
Select Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,174.90 | Facility | None | $1,096.48 | $1,096.48 | $1,174.90 |
Select Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,621.81 | Professional | None | $1,096.48 | $1,096.48 | $1,621.81 |
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 $1,288.25 Median $1,949.84 Typical High $2,884.03 | Professional | None | $1,288.25 | $1,949.84 | $2,884.03 |
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 $1,862.09 Median $2,238.72 Typical High $2,398.83 | Professional | 54 · Surgery only | $1,862.09 | $2,238.72 | $2,398.83 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $245.47 Typical High $263.03 | Professional | 55 · Aftercare only | $204.17 | $245.47 | $263.03 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,288.25 Median $1,548.82 Typical High $1,659.59 | Professional | 62 · Two surgeons | $1,288.25 | $1,548.82 | $1,659.59 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,454.71 Median $2,951.21 Typical High $3,162.28 | Professional | 63 · Small infant | $2,454.71 | $2,951.21 | $3,162.28 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,737.80 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,737.80 | $1,862.09 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $331.13 Median $398.11 Typical High $426.58 | Professional | 80 · Assistant surgeon | $331.13 | $398.11 | $426.58 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $331.13 Median $398.11 Typical High $426.58 | Professional | 81 · Minimal assistant surgeon | $331.13 | $398.11 | $426.58 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $331.13 Median $398.11 Typical High $426.58 | Professional | 82 · Assistant surgeon, no resident | $331.13 | $398.11 | $426.58 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $281.84 Median $338.84 Typical High $363.08 | Professional | AS · PA/NP assist | $281.84 | $338.84 | $363.08 |
Where Idaho sits
The same service costs 6.6 times more in Alabama 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.
Physician feeFacility fee
AL $18,462KY $2,797
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.