How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,000 to $7,943Professionalmedian $1,000 · 10th to 90th $646 to $1,698
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 $645.65 Median $1,698.24 Typical High $1,698.24 | Professional | None | $645.65 | $1,698.24 | $1,698.24 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,238.72 Median $3,715.35 Typical High $8,317.64 | Facility | None | $2,238.72 | $3,715.35 | $8,317.64 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $3,311.31 Median $5,623.41 Typical High $12,589.25 | Facility | 50 · Both sides | $3,311.31 | $5,623.41 | $12,589.25 |
BCBS Idaho Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,202.26 | Professional | None | $933.25 | $1,122.02 | $1,202.26 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $1,348.96 Median $1,621.81 Typical High $1,737.80 | Professional | 50 · Both sides | $1,348.96 | $1,621.81 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,995.26 Typical High $2,691.53 | Facility | None | $1,778.28 | $1,995.26 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $954.99 | Professional | None | $707.95 | $831.76 | $954.99 |
Moda Health Setting Facility Modifier None Typical Low $707.95 Median $1,698.24 Typical High $5,495.41 | Facility | None | $707.95 | $1,698.24 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $741.31 Median $1,071.52 Typical High $1,698.24 | Professional | None | $741.31 | $1,071.52 | $1,698.24 |
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 $812.83 Median $1,000.00 Typical High $1,000.00 | Facility | None | $812.83 | $1,000.00 | $1,000.00 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $5,011.87 | Professional | None | $1,000.00 | $1,000.00 | $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 $1,071.52 Median $1,148.15 Typical High $1,202.26 | Professional | None | $1,071.52 | $1,148.15 | $1,202.26 |
Select Health Setting Facility Modifier None Typical Low $478.63 Median $489.78 Typical High $6,309.57 | Facility | None | $478.63 | $489.78 | $6,309.57 |
Select Health Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $707.95 | Professional | None | $478.63 | $478.63 | $707.95 |
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 $630.96 Median $891.25 Typical High $1,258.93 | Professional | None | $630.96 | $891.25 | $1,258.93 |
5 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 $812.83 Median $977.24 Typical High $1,047.13 | Professional | 54 · Surgery only | $812.83 | $977.24 | $1,047.13 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $109.65 Typical High $114.82 | Professional | 55 · Aftercare only | $91.20 | $109.65 | $114.82 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $562.34 Median $676.08 Typical High $724.44 | Professional | 62 · Two surgeons | $562.34 | $676.08 | $724.44 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,096.48 Median $1,318.26 Typical High $1,380.38 | Professional | 63 · Small infant | $1,096.48 | $1,318.26 | $1,380.38 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $758.58 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $630.96 | $758.58 | $812.83 |
Where Idaho sits
The same service costs 5.9 times more in Alaska than in Texas. 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.
Idaho· 12th of 51
$1,318
AK $3,236TX $550
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.