How much rates vary
Facilitymedian $3,715 · 10th to 90th $977 to $13,183Professionalmedian $832 · 10th to 90th $525 to $1,445
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 $489.78 Median $1,445.44 Typical High $1,445.44 | Professional | None | $489.78 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $398.11 | $1,071.52 | $1,071.52 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,698.24 Median $4,073.80 Typical High $15,135.61 | Facility | None | $1,698.24 | $4,073.80 | $15,135.61 |
BCBS Idaho Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $977.24 | Professional | None | $758.58 | $891.25 | $977.24 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $776.25 Typical High $870.96 | Professional | 54 · Surgery only | $676.08 | $776.25 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $3,311.31 Median $3,715.35 Typical High $5,011.87 | Facility | None | $3,311.31 | $3,715.35 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $691.83 Typical High $831.76 | Professional | None | $562.34 | $691.83 | $831.76 |
Moda Health Setting Facility Modifier None Typical Low $389.05 Median $1,445.44 Typical High $5,495.41 | Facility | None | $389.05 | $1,445.44 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $660.69 Median $954.99 Typical High $1,445.44 | Professional | None | $660.69 | $954.99 | $1,445.44 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $489.78 | $1,071.52 | $1,071.52 |
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 $660.69 Median $812.83 Typical High $812.83 | Facility | None | $660.69 | $812.83 | $812.83 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $977.24 | Professional | None | $812.83 | $812.83 | $977.24 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,772.37 Median $14,125.38 Typical High $19,054.61 | Facility | None | $9,772.37 | $14,125.38 | $19,054.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $977.24 | Professional | None | $831.76 | $977.24 | $977.24 |
Select Health Setting Facility Modifier None Typical Low $389.05 Median $398.11 Typical High $5,128.61 | Facility | None | $389.05 | $398.11 | $5,128.61 |
Select Health Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $933.25 | Professional | None | $389.05 | $389.05 | $933.25 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $1,621.81 | Facility | None | $1,047.13 | $1,412.54 | $1,621.81 |
United Setting Professional Modifier None Typical Low $501.19 Median $645.65 Typical High $977.24 | Professional | None | $501.19 | $645.65 | $977.24 |
14 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 55 · Aftercare only Typical Low $75.86 Median $87.10 Typical High $97.72 | Professional | 55 · Aftercare only | $75.86 | $87.10 | $97.72 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $467.74 Median $537.03 Typical High $602.56 | Professional | 62 · Two surgeons | $467.74 | $537.03 | $602.56 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $891.25 Median $1,047.13 Typical High $1,174.90 | Professional | 63 · Small infant | $891.25 | $1,047.13 | $1,174.90 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $602.56 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $524.81 | $602.56 | $676.08 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $120.23 Median $138.04 Typical High $154.88 | Professional | 80 · Assistant surgeon | $120.23 | $138.04 | $154.88 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $120.23 Median $138.04 Typical High $154.88 | Professional | 81 · Minimal assistant surgeon | $120.23 | $138.04 | $154.88 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $120.23 Median $138.04 Typical High $154.88 | Professional | 82 · Assistant surgeon, no resident | $120.23 | $138.04 | $154.88 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $102.33 Median $117.49 Typical High $131.83 | Professional | AS · PA/NP assist | $102.33 | $117.49 | $131.83 |
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 22 · Increased work | $1,071.52 | $1,071.52 | $1,071.52 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $97.72 |
MountainHealth Co-op Setting Professional Modifier 62 · Two surgeons Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 62 · Two surgeons | $602.56 | $602.56 | $602.56 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 63 · Small infant | $1,071.52 | $1,071.52 | $1,071.52 |
MountainHealth Co-op Setting Professional Modifier 66 · Surgical team Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 66 · Surgical team | $436.52 | $436.52 | $436.52 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $724.44 |
Where Idaho sits
The same service costs 4.6 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· 9th of 51
$871
AK $1,950TX $427
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.