How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,072 to $9,772Professionalmedian $1,072 · 10th to 90th $708 to $1,778
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 $3,388.44 Median $4,466.84 Typical High $8,709.64 | Facility | None | $3,388.44 | $4,466.84 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $1,778.28 Typical High $1,778.28 | Professional | None | $741.31 | $1,778.28 | $1,778.28 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,949.84 Median $4,168.69 Typical High $9,772.37 | Facility | None | $1,949.84 | $4,168.69 | $9,772.37 |
BCBS Idaho Setting Professional Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,230.27 | Professional | None | $954.99 | $1,148.15 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,819.70 Typical High $2,454.71 | Facility | None | $1,621.81 | $1,819.70 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $851.14 Typical High $1,023.29 | Professional | None | $707.95 | $851.14 | $1,023.29 |
Moda Health Setting Facility Modifier None Typical Low $645.65 Median $1,778.28 Typical High $5,495.41 | Facility | None | $645.65 | $1,778.28 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $851.14 Median $1,174.90 Typical High $1,778.28 | Professional | None | $851.14 | $1,174.90 | $1,778.28 |
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 $851.14 Median $1,047.13 Typical High $1,047.13 | Facility | None | $851.14 | $1,047.13 | $1,047.13 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,202.26 | Professional | None | $1,047.13 | $1,047.13 | $1,202.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,248.07 Median $8,128.31 Typical High $10,471.29 | Facility | None | $5,248.07 | $8,128.31 | $10,471.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,047.13 | $1,230.27 | $1,230.27 |
Select Health Setting Facility Modifier None Typical Low $501.19 Median $512.86 Typical High $10,715.19 | Facility | None | $501.19 | $512.86 | $10,715.19 |
Select Health Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $1,148.15 | Professional | None | $501.19 | $501.19 | $1,148.15 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,238.72 Typical High $3,388.44 | Facility | None | $1,698.24 | $2,238.72 | $3,388.44 |
United Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $1,288.25 | Professional | None | $660.69 | $851.14 | $1,288.25 |
27 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $354.81 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $354.81 Typical High $354.81 | Professional | 53 · Discontinued | $141.25 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $537.03 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $107.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $177.83 Typical High $177.83 | Professional | 56 · Pre-op care only | $70.79 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $501.19 | $1,258.93 | $1,258.93 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,000.00 Typical High $1,071.52 | Professional | 54 · Surgery only | $870.96 | $1,000.00 | $1,071.52 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $112.20 Typical High $120.23 | Professional | 55 · Aftercare only | $95.50 | $112.20 | $120.23 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $602.56 Median $691.83 Typical High $741.31 | Professional | 62 · Two surgeons | $602.56 | $691.83 | $741.31 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,148.15 Median $1,348.96 Typical High $1,445.44 | Professional | 63 · Small infant | $1,148.15 | $1,348.96 | $1,445.44 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $776.25 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $676.08 | $776.25 | $831.76 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $154.88 Median $177.83 Typical High $190.55 | Professional | 80 · Assistant surgeon | $154.88 | $177.83 | $190.55 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $154.88 Median $177.83 Typical High $190.55 | Professional | 81 · Minimal assistant surgeon | $154.88 | $177.83 | $190.55 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $154.88 Median $177.83 Typical High $190.55 | Professional | 82 · Assistant surgeon, no resident | $154.88 | $177.83 | $190.55 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $131.83 Median $151.36 Typical High $162.18 | Professional | AS · PA/NP assist | $131.83 | $151.36 | $162.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $426.58 | $891.25 | $891.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $354.81 Typical High $354.81 | Professional | 53 · Discontinued | $173.78 | $354.81 | $354.81 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $645.65 | $1,348.96 | $1,348.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $128.82 | $269.15 | $269.15 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $177.83 Typical High $177.83 | Professional | 56 · Pre-op care only | $87.10 | $177.83 | $177.83 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $602.56 | $1,258.93 | $1,258.93 |
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | 22 · Increased work | $1,318.26 | $1,318.26 | $1,318.26 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | 54 · Surgery only | $831.76 | $831.76 | $831.76 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $120.23 |
MountainHealth Co-op Setting Professional Modifier 62 · Two surgeons Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 62 · Two surgeons | $741.31 | $741.31 | $741.31 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | 63 · Small infant | $1,318.26 | $1,318.26 | $1,318.26 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $891.25 |
Where Idaho sits
The same service costs 6.5 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· 10th of 51
$1,122
AK $2,455TX $380
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.