How much rates vary
Facilitymedian $1,445 · 10th to 90th $871 to $7,244Professionalmedian $1,122 · 10th to 90th $537 to $1,995
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 $562.34 Median $1,122.02 Typical High $2,754.23 | Professional | None | $562.34 | $1,122.02 | $2,754.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $831.76 Typical High $2,041.74 | Professional | 54 · Surgery only | $416.87 | $831.76 | $2,041.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $776.25 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $389.05 | $776.25 | $1,905.46 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,023.29 Median $3,162.28 Typical High $8,317.64 | Facility | None | $1,023.29 | $3,162.28 | $8,317.64 |
BCBS Idaho Setting Professional Modifier None Typical Low $676.08 Median $1,230.27 Typical High $1,949.84 | Professional | None | $676.08 | $1,230.27 | $1,949.84 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $691.83 Typical High $1,698.24 | Professional | 54 · Surgery only | $602.56 | $691.83 | $1,698.24 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $549.54 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $457.09 | $549.54 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $977.24 Typical High $1,318.26 | Facility | None | $870.96 | $977.24 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $812.83 Typical High $1,548.82 | Professional | None | $537.03 | $812.83 | $1,548.82 |
Moda Health Setting Facility Modifier None Typical Low $562.34 Median $1,479.11 Typical High $5,495.41 | Facility | None | $562.34 | $1,479.11 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $602.56 Median $1,122.02 Typical High $2,754.23 | Professional | None | $602.56 | $1,122.02 | $2,754.23 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $831.76 Typical High $2,041.74 | Professional | 54 · Surgery only | $416.87 | $831.76 | $2,041.74 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $776.25 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $389.05 | $776.25 | $1,905.46 |
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 $707.95 Median $707.95 Typical High $1,778.28 | Facility | None | $707.95 | $707.95 | $1,778.28 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $707.95 Median $870.96 Typical High $1,778.28 | Professional | None | $707.95 | $870.96 | $1,778.28 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $1,230.27 | Professional | 54 · Surgery only | $512.86 | $512.86 | $1,230.27 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $549.54 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $549.54 | $549.54 | $1,318.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,248.07 Median $7,585.78 Typical High $10,471.29 | Facility | None | $5,248.07 | $7,585.78 | $10,471.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $1,819.70 | Professional | None | $724.44 | $954.99 | $1,819.70 |
Select Health Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $4,897.79 | Facility | None | $851.14 | $870.96 | $4,897.79 |
Select Health Setting Professional Modifier None Typical Low $446.68 Median $851.14 Typical High $1,122.02 | Professional | None | $446.68 | $851.14 | $1,122.02 |
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 $407.38 Median $912.01 Typical High $4,786.30 | Professional | None | $407.38 | $912.01 | $4,786.30 |
7 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 $72.44 Median $79.43 Typical High $190.55 | Professional | 55 · Aftercare only | $72.44 | $79.43 | $190.55 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $776.25 Median $912.01 Typical High $2,187.76 | Professional | 63 · Small infant | $776.25 | $912.01 | $2,187.76 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $104.71 Median $123.03 Typical High $309.03 | Professional | 80 · Assistant surgeon | $104.71 | $123.03 | $309.03 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $104.71 Median $123.03 Typical High $302.00 | Professional | 81 · Minimal assistant surgeon | $104.71 | $123.03 | $302.00 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $104.71 Median $123.03 Typical High $295.12 | Professional | 82 · Assistant surgeon, no resident | $104.71 | $123.03 | $295.12 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $91.20 Median $104.71 Typical High $251.19 | Professional | AS · PA/NP assist | $91.20 | $104.71 | $251.19 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $177.83 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $177.83 |
Where Idaho sits
The same service costs 4.5 times more in North Carolina than in Washington, DC. 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· 13th of 51
$1,122
NC $2,042DC $457
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.